How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $10.47 Median $18.62 Typical High $60.26 | Facility | None | $10.47 | $18.62 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $16.98 | Professional | None | $10.23 | $10.96 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.25 Typical High $5.89 | Professional | 52 · Reduced service | $5.13 | $5.25 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.34 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.34 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $13.18 Typical High $13.18 | Professional | None | $7.94 | $13.18 | $13.18 |
AmeriHealth Setting Facility Modifier None Typical Low $24.55 Median $69.18 Typical High $851.14 | Facility | None | $24.55 | $69.18 | $851.14 |
AmeriHealth Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $21.38 | Professional | None | $8.51 | $8.51 | $21.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $5,011.87 | Facility | None | $74.13 | $97.72 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | None | $10.23 | $10.23 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.95 Typical High $38.90 | Facility | None | $9.12 | $19.95 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $31.62 | Professional | None | $8.32 | $14.79 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $19.05 | Professional | None | $6.17 | $6.17 | $19.05 |
Geisinger Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Geisinger Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $19.50 | Professional | None | $10.96 | $14.45 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $34.67 Typical High $72.44 | Facility | None | $19.05 | $34.67 | $72.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $11.22 | Professional | None | $7.76 | $9.77 | $11.22 |
Independence Blue Cross Setting Facility Modifier None Typical Low $18.20 Median $61.66 Typical High $141.25 | Facility | None | $18.20 | $61.66 | $141.25 |
Independence Blue Cross Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Martin's Point Setting Facility Modifier None Typical Low $10.47 Median $20.42 Typical High $60.26 | Facility | None | $10.47 | $20.42 | $60.26 |
Martin's Point Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $16.98 | Professional | None | $10.47 | $10.96 | $16.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $5.50 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.24 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $13.18 Median $41.69 Typical High $87.10 | Facility | None | $13.18 | $41.69 | $87.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $18.62 | Professional | None | $11.48 | $13.18 | $18.62 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $15.49 | Facility | None | $11.75 | $13.18 | $15.49 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.51 Typical High $22.91 | Professional | None | $5.50 | $8.51 | $22.91 |
Where Pennsylvania sits
The same service costs 10.2 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 13th of 51
$16.22
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.