How much rates vary
Facilitymedian $692 · 10th to 90th $93 to $3,467Professionalmedian $76 · 10th to 90th $44 to $145
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $95.50 Median $707.95 Typical High $3,467.37 | Facility | Global | $95.50 | $707.95 | $3,467.37 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $144.54 Median $954.99 Typical High $2,691.53 | Facility | 50 · Both sides | $144.54 | $954.99 | $2,691.53 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $33.88 | Facility | 52 · Reduced service | $22.91 | $22.91 | $33.88 |
Aetna Setting Professional Modifier Global Typical Low $43.65 Median $75.86 Typical High $147.91 | Professional | Global | $43.65 | $75.86 | $147.91 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $144.54 Typical High $257.04 | Professional | 50 · Both sides | $67.61 | $144.54 | $257.04 |
Ambetter Setting Professional Modifier Global Typical Low $37.15 Median $67.61 Typical High $114.82 | Professional | Global | $37.15 | $67.61 | $114.82 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $85.11 Median $114.82 Typical High $177.83 | Professional | 50 · Both sides | $85.11 | $114.82 | $177.83 |
AmeriHealth Setting Facility Modifier Global Typical Low $549.54 Median $794.33 Typical High $20,892.96 | Facility | Global | $549.54 | $794.33 | $20,892.96 |
AmeriHealth Setting Professional Modifier Global Typical Low $33.88 Median $57.54 Typical High $72.44 | Professional | Global | $33.88 | $57.54 | $72.44 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $1,174.90 Median $1,230.27 Typical High $57,543.99 | Facility | Global | $1,174.90 | $1,230.27 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $64.57 Median $93.33 Typical High $125.89 | Professional | Global | $64.57 | $93.33 | $125.89 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $141.25 Typical High $190.55 | Professional | 50 · Both sides | $95.50 | $141.25 | $190.55 |
Cigna Setting Facility Modifier Global Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | Global | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier Global Typical Low $46.77 Median $70.79 Typical High $120.23 | Professional | Global | $46.77 | $70.79 | $120.23 |
Emblem Health Setting Professional Modifier Global Typical Low $81.28 Median $117.49 Typical High $436.52 | Professional | Global | $81.28 | $117.49 | $436.52 |
Geisinger Setting Professional Modifier Global Typical Low $63.10 Median $85.11 Typical High $134.90 | Professional | Global | $63.10 | $85.11 | $134.90 |
Highmark BCBS Setting Facility Modifier Global Typical Low $204.17 Median $691.83 Typical High $1,258.93 | Facility | Global | $204.17 | $691.83 | $1,258.93 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $323.59 Median $1,258.93 Typical High $2,041.74 | Facility | 50 · Both sides | $323.59 | $1,258.93 | $2,041.74 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $28.84 Median $257.04 Typical High $1,047.13 | Facility | 52 · Reduced service | $28.84 | $257.04 | $1,047.13 |
Highmark BCBS Setting Professional Modifier Global Typical Low $60.26 Median $79.43 Typical High $104.71 | Professional | Global | $60.26 | $79.43 | $104.71 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $120.23 Typical High $147.91 | Professional | 50 · Both sides | $104.71 | $120.23 | $147.91 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $457.09 Median $707.95 Typical High $9,120.11 | Facility | Global | $457.09 | $707.95 | $9,120.11 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $33.88 Median $67.61 Typical High $72.44 | Professional | Global | $33.88 | $67.61 | $72.44 |
Martin's Point Setting Facility Modifier Global Typical Low $95.50 Median $794.33 Typical High $3,467.37 | Facility | Global | $95.50 | $794.33 | $3,467.37 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $208.93 Median $977.24 Typical High $2,630.27 | Facility | 50 · Both sides | $208.93 | $977.24 | $2,630.27 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $33.88 | Facility | 52 · Reduced service | $22.91 | $22.91 | $33.88 |
Martin's Point Setting Professional Modifier Global Typical Low $42.66 Median $72.44 Typical High $141.25 | Professional | Global | $42.66 | $72.44 | $141.25 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $131.83 Typical High $239.88 | Professional | 50 · Both sides | $66.07 | $131.83 | $239.88 |
Oscar Health Setting Facility Modifier Global Typical Low $467.74 Median $501.19 Typical High $1,778.28 | Facility | Global | $467.74 | $501.19 | $1,778.28 |
Oscar Health Setting Professional Modifier Global Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | Global | $67.61 | $70.79 | $70.79 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $29.51 Median $51.29 Typical High $89.13 | Facility | Global | $29.51 | $51.29 | $89.13 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $43.65 Median $61.66 Typical High $66.07 | Professional | Global | $43.65 | $61.66 | $66.07 |
United Setting Facility Modifier Global Typical Low $363.08 Median $891.25 Typical High $5,495.41 | Facility | Global | $363.08 | $891.25 | $5,495.41 |
United Setting Professional Modifier Global Typical Low $43.65 Median $64.57 Typical High $112.20 | Professional | Global | $43.65 | $64.57 | $112.20 |
Where Pennsylvania sits
The same service costs 2.2 times more in Wisconsin than in South Dakota. 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· 15th of 51
$83.18
WI $138SD $63.10
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.