How much rates vary
Facilitymedian $5,129 · 10th to 90th $708 to $9,772Professionalmedian $550 · 10th to 90th $269 to $1,096
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 $691.83 Median $5,128.61 Typical High $9,772.37 | Facility | Global | $691.83 | $5,128.61 | $9,772.37 |
Aetna Setting Professional Modifier Global Typical Low $269.15 Median $549.54 Typical High $1,148.15 | Professional | Global | $269.15 | $549.54 | $1,148.15 |
Ambetter Setting Professional Modifier Global Typical Low $380.19 Median $389.05 Typical High $630.96 | Professional | Global | $380.19 | $389.05 | $630.96 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,884.03 Median $4,073.80 Typical High $30,902.95 | Facility | Global | $2,884.03 | $4,073.80 | $30,902.95 |
AmeriHealth Setting Professional Modifier Global Typical Low $218.78 Median $436.52 Typical High $467.74 | Professional | Global | $218.78 | $436.52 | $467.74 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $5,248.07 Typical High $57,543.99 | Facility | Global | $5,011.87 | $5,248.07 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | Global | $588.84 | $588.84 | $645.65 |
Cigna Setting Facility Modifier Global Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | Global | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | 22 · Increased work | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | AS · PA/NP assist | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier Global Typical Low $371.54 Median $588.84 Typical High $1,071.52 | Professional | Global | $371.54 | $588.84 | $1,071.52 |
Emblem Health Setting Professional Modifier Global Typical Low $758.58 Median $1,023.29 Typical High $1,318.26 | Professional | Global | $758.58 | $1,023.29 | $1,318.26 |
Geisinger Setting Professional Modifier Global Typical Low $309.03 Median $660.69 Typical High $1,047.13 | Professional | Global | $309.03 | $660.69 | $1,047.13 |
Highmark BCBS Setting Facility Modifier Global Typical Low $2,951.21 Median $6,606.93 Typical High $13,182.57 | Facility | Global | $2,951.21 | $6,606.93 | $13,182.57 |
Highmark BCBS Setting Professional Modifier Global Typical Low $407.38 Median $457.09 Typical High $602.56 | Professional | Global | $407.38 | $457.09 | $602.56 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $2,691.53 Median $3,715.35 Typical High $20,417.38 | Facility | Global | $2,691.53 | $3,715.35 | $20,417.38 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $218.78 Median $436.52 Typical High $501.19 | Professional | Global | $218.78 | $436.52 | $501.19 |
Martin's Point Setting Facility Modifier Global Typical Low $691.83 Median $5,128.61 Typical High $9,772.37 | Facility | Global | $691.83 | $5,128.61 | $9,772.37 |
Martin's Point Setting Professional Modifier Global Typical Low $363.08 Median $575.44 Typical High $1,230.27 | Professional | Global | $363.08 | $575.44 | $1,230.27 |
Oscar Health Setting Facility Modifier Global Typical Low $3,235.94 Median $4,073.80 Typical High $9,772.37 | Facility | Global | $3,235.94 | $4,073.80 | $9,772.37 |
Oscar Health Setting Professional Modifier Global Typical Low $5.01 Median $380.19 Typical High $398.11 | Professional | Global | $5.01 | $380.19 | $398.11 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $588.84 Median $1,949.84 Typical High $3,388.44 | Facility | Global | $588.84 | $1,949.84 | $3,388.44 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $398.11 Median $537.03 Typical High $588.84 | Professional | Global | $398.11 | $537.03 | $588.84 |
United Setting Facility Modifier Global Typical Low $1,659.59 Median $3,630.78 Typical High $8,511.38 | Facility | Global | $1,659.59 | $3,630.78 | $8,511.38 |
United Setting Professional Modifier Global Typical Low $363.08 Median $602.56 Typical High $1,096.48 | Professional | Global | $363.08 | $602.56 | $1,096.48 |
Where Pennsylvania sits
The same service costs 6.1 times more in West Virginia than in Montana. 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.
Physician feeFacility fee
WV $10,125MT $1,654
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.