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 $11.75 Median $22.39 Typical High $48.98 | Facility | None | $11.75 | $22.39 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $19.50 | Professional | None | $11.48 | $12.30 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.89 Typical High $6.46 | Professional | 52 · Reduced service | $5.75 | $5.89 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $2.57 | Professional | 53 · Discontinued | $2.29 | $2.34 | $2.57 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $14.45 | Professional | None | $8.71 | $14.45 | $14.45 |
AmeriHealth Setting Facility Modifier None Typical Low $23.99 Median $66.07 Typical High $512.86 | Facility | None | $23.99 | $66.07 | $512.86 |
AmeriHealth Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $5,011.87 | Facility | None | $83.18 | $107.15 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.13 | Professional | None | $11.22 | $11.22 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.88 Typical High $43.65 | Facility | None | $10.00 | $21.88 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.22 Typical High $35.48 | Professional | None | $8.91 | $16.22 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $20.89 | Professional | None | $6.76 | $6.76 | $20.89 |
Geisinger Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Geisinger Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $21.38 | Professional | None | $12.30 | $16.22 | $21.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $20.89 Median $38.02 Typical High $79.43 | Facility | None | $20.89 | $38.02 | $79.43 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $23.44 | Professional | None | $9.55 | $10.72 | $23.44 |
Independence Blue Cross Setting Facility Modifier None Typical Low $19.95 Median $58.88 Typical High $134.90 | Facility | None | $19.95 | $58.88 | $134.90 |
Independence Blue Cross Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Martin's Point Setting Facility Modifier None Typical Low $11.75 Median $24.55 Typical High $48.98 | Facility | None | $11.75 | $24.55 | $48.98 |
Martin's Point Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $19.50 | Professional | None | $11.75 | $12.30 | $19.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $5.89 Typical High $6.17 | Professional | 52 · Reduced service | $5.89 | $5.89 | $6.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.45 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.45 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.45 Median $35.48 Typical High $72.44 | Facility | None | $14.45 | $35.48 | $72.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.59 Median $14.45 Typical High $20.42 | Professional | None | $12.59 | $14.45 | $20.42 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $17.38 | Facility | None | $12.88 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $25.12 | Professional | None | $6.03 | $9.33 | $25.12 |
Where Pennsylvania sits
The same service costs 8.3 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· 14th of 51
$18.20
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.