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 $4.37 Median $9.33 Typical High $138.04 | Facility | None | $4.37 | $9.33 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.57 Typical High $7.08 | Professional | None | $4.27 | $4.57 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.14 Median $2.19 Typical High $2.40 | Professional | 52 · Reduced service | $2.14 | $2.19 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.87 Typical High $0.95 | Professional | 53 · Discontinued | $0.85 | $0.87 | $0.95 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
AmeriHealth Setting Facility Modifier None Typical Low $10.47 Median $26.30 Typical High $870.96 | Facility | None | $10.47 | $26.30 | $870.96 |
Capital Blue Cross Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $5,011.87 | Facility | None | $30.90 | $39.81 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | None | $4.17 | $4.17 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.13 Typical High $28.18 | Facility | None | $3.80 | $8.13 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.17 Typical High $13.18 | Professional | None | $3.39 | $6.17 | $13.18 |
Emblem Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $7.76 | Professional | None | $2.51 | $2.51 | $7.76 |
Geisinger Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Geisinger Setting Professional Modifier None Typical Low $4.57 Median $6.03 Typical High $8.13 | Professional | None | $4.57 | $6.03 | $8.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $26.92 Median $100.00 Typical High $169.82 | Facility | None | $26.92 | $100.00 | $169.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $4.07 | Professional | None | $3.24 | $3.63 | $4.07 |
Independence Blue Cross Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $53.70 | Facility | None | $16.22 | $24.55 | $53.70 |
Martin's Point Setting Facility Modifier None Typical Low $4.37 Median $15.85 Typical High $138.04 | Facility | None | $4.37 | $15.85 | $138.04 |
Martin's Point Setting Professional Modifier None Typical Low $4.37 Median $4.57 Typical High $7.08 | Professional | None | $4.37 | $4.57 | $7.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.19 Typical High $2.29 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.91 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.37 Median $13.18 Typical High $21.88 | Facility | None | $5.37 | $13.18 | $21.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $7.94 | Professional | None | $4.79 | $7.76 | $7.94 |
United Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $199.53 | Facility | None | $81.28 | $173.78 | $199.53 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.89 Typical High $9.33 | Professional | None | $2.45 | $3.89 | $9.33 |
Where Pennsylvania sits
The same service costs 11.2 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· 17th of 51
$7.08
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.