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 $7.59 Typical High $15.85 | Facility | None | $4.37 | $7.59 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.37 Typical High $5.13 | Professional | None | $4.27 | $4.37 | $5.13 |
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 $5,248.07 Median $10,964.78 Typical High $14,454.40 | Facility | None | $5,248.07 | $10,964.78 | $14,454.40 |
Capital Blue Cross Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $5,011.87 | Facility | None | $26.92 | $34.67 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.57 | Professional | None | $4.17 | $4.17 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.13 Typical High $16.22 | Facility | None | $3.80 | $8.13 | $16.22 |
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 $5.37 Typical High $8.13 | Professional | None | $4.57 | $5.37 | $8.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.41 Median $14.45 Typical High $29.51 | Facility | None | $7.41 | $14.45 | $29.51 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.55 Typical High $4.07 | Professional | None | $3.24 | $3.55 | $4.07 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,760.83 Typical High $11,481.54 | Facility | None | $3,981.07 | $6,760.83 | $11,481.54 |
Martin's Point Setting Facility Modifier None Typical Low $4.37 Median $8.32 Typical High $16.22 | Facility | None | $4.37 | $8.32 | $16.22 |
Martin's Point Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.13 | Professional | None | $4.37 | $4.37 | $5.13 |
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 $15.49 Typical High $32.36 | Facility | None | $5.37 | $15.49 | $32.36 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $6.61 | Professional | None | $4.79 | $5.37 | $6.61 |
United Setting Facility Modifier None Typical Low $4.79 Median $6.46 Typical High $18.20 | Facility | None | $4.79 | $6.46 | $18.20 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $8.13 | Professional | None | $2.45 | $3.47 | $8.13 |
Where Pennsylvania sits
The same service costs 4.2 times more in Kansas 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· 30th of 51
$5.37
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.