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 $4.17 Median $10.72 Typical High $47.86 | Facility | None | $4.17 | $10.72 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.37 Typical High $6.46 | Professional | None | $4.07 | $4.37 | $6.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.09 Typical High $2.29 | Professional | 52 · Reduced service | $2.04 | $2.09 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.83 Typical High $0.93 | Professional | 53 · Discontinued | $0.81 | $0.83 | $0.93 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $5.13 | Professional | None | $3.16 | $5.13 | $5.13 |
AmeriHealth Setting Facility Modifier None Typical Low $8.91 Median $24.55 Typical High $467.74 | Facility | None | $8.91 | $24.55 | $467.74 |
AmeriHealth Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Capital Blue Cross Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $5,011.87 | Facility | None | $29.51 | $38.02 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.13 | Professional | None | $4.07 | $4.07 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $7.76 Typical High $15.49 | Facility | None | $3.63 | $7.76 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $5.75 Typical High $12.59 | Professional | None | $3.24 | $5.75 | $12.59 |
Emblem Health Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $7.59 | Professional | None | $2.45 | $2.45 | $7.59 |
Geisinger Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Geisinger Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $7.76 | Professional | None | $4.37 | $5.75 | $7.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.24 Median $14.13 Typical High $30.90 | Facility | None | $7.24 | $14.13 | $30.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.47 Typical High $4.27 | Professional | None | $3.09 | $3.47 | $4.27 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7.41 Median $21.88 Typical High $50.12 | Facility | None | $7.41 | $21.88 | $50.12 |
Independence Blue Cross Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Martin's Point Setting Facility Modifier None Typical Low $4.17 Median $12.02 Typical High $47.86 | Facility | None | $4.17 | $12.02 | $47.86 |
Martin's Point Setting Professional Modifier None Typical Low $4.17 Median $4.37 Typical High $6.46 | Professional | None | $4.17 | $4.37 | $6.46 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.09 Typical High $2.19 | Professional | 52 · Reduced service | $2.09 | $2.09 | $2.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $0.87 | Professional | 53 · Discontinued | $0.83 | $0.83 | $0.87 |
Oscar Health Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.13 Median $25.70 Typical High $53.70 | Facility | None | $5.13 | $25.70 | $53.70 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.57 Median $5.13 Typical High $7.41 | Professional | None | $4.57 | $5.13 | $7.41 |
United Setting Facility Modifier None Typical Low $4.68 Median $6.17 Typical High $8.91 | Facility | None | $4.68 | $6.17 | $8.91 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $8.91 | Professional | None | $2.34 | $3.39 | $8.91 |
Where Pennsylvania sits
The same service costs 9.3 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· 16th 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.