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 $2.40 Median $81.28 Typical High $501.19 | Facility | None | $2.40 | $81.28 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.51 Typical High $3.98 | Professional | None | $2.34 | $2.51 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.20 Typical High $1.35 | Professional | 52 · Reduced service | $1.17 | $1.20 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.48 Typical High $0.52 | Professional | 53 · Discontinued | $0.47 | $0.48 | $0.52 |
Ambetter Setting Professional Modifier None Typical Low $1.78 Median $3.02 Typical High $3.02 | Professional | None | $1.78 | $3.02 | $3.02 |
AmeriHealth Setting Facility Modifier None Typical Low $6.03 Median $15.14 Typical High $1,380.38 | Facility | None | $6.03 | $15.14 | $1,380.38 |
AmeriHealth Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Capital Blue Cross Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $5,011.87 | Facility | None | $16.98 | $21.88 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.95 | Professional | None | $2.34 | $2.34 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $4.47 Typical High $15.49 | Facility | None | $2.09 | $4.47 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $3.31 Typical High $7.59 | Professional | None | $1.86 | $3.31 | $7.59 |
Emblem Health Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $4.37 | Professional | None | $1.41 | $1.41 | $4.37 |
Geisinger Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Geisinger Setting Professional Modifier None Typical Low $2.51 Median $3.31 Typical High $4.47 | Professional | None | $2.51 | $3.31 | $4.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $21.38 Median $288.40 Typical High $489.78 | Facility | None | $21.38 | $288.40 | $489.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.78 Median $2.24 Typical High $2.88 | Professional | None | $1.78 | $2.24 | $2.88 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.92 Median $14.13 Typical High $181.97 | Facility | None | $6.92 | $14.13 | $181.97 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Martin's Point Setting Facility Modifier None Typical Low $2.40 Median $91.20 Typical High $524.81 | Facility | None | $2.40 | $91.20 | $524.81 |
Martin's Point Setting Professional Modifier None Typical Low $2.40 Median $2.51 Typical High $3.98 | Professional | None | $2.40 | $2.51 | $3.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.20 Typical High $1.26 | Professional | 52 · Reduced service | $1.20 | $1.20 | $1.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.48 Typical High $0.51 | Professional | 53 · Discontinued | $0.48 | $0.48 | $0.51 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.02 Median $10.72 Typical High $25.12 | Facility | None | $3.02 | $10.72 | $25.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.63 Median $6.46 Typical High $6.61 | Professional | None | $2.63 | $6.46 | $6.61 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None Typical Low $1.35 Median $2.19 Typical High $5.25 | Professional | None | $1.35 | $2.19 | $5.25 |
Where Pennsylvania sits
The same service costs 47.9 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· 8th of 51
$6.17
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.