Commercial Price Variation for Common Cardiovascular Services Across 4 Major US Insurers

How do commercial insurance payment rates for common cardiology services vary across insurers and states in the US?In this cross-sectional study of April 2025 Transparency in Coverage price data collected by a third-party vendor from 4 major insurers, facility prices for cardiology services showed substantially greater variation than professional fees. Median facility prices for some procedures—such as implantable cardioverter-defibrillator insertion—ranged from $6674 to $36 269 across payers, with a median facility price for coronary angiography of $7683 across states.These findings underscore the need for greater oversight and policy regulations to enhance price transparency and curb excessive spending.

Corresponding Author: Christopher Whaley, PhD, Brown University School of Public Health, 121 S Main St, Box G-S121-8, Providence, RI 02912 (christopher_whaley@brown.edu).

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