How much rates vary
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 $85.11 Median $660.69 Typical High $4,786.30 | Facility | Global | $85.11 | $660.69 | $4,786.30 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 50 · Both sides | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier Global Typical Low $46.77 Median $114.82 Typical High $234.42 | Professional | Global | $46.77 | $114.82 | $234.42 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $208.93 Typical High $263.03 | Professional | 50 · Both sides | $89.13 | $208.93 | $263.03 |
Ambetter Setting Professional Modifier Global Typical Low $42.66 Median $61.66 Typical High $125.89 | Professional | Global | $42.66 | $61.66 | $125.89 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 50 · Both sides | $77.62 | $77.62 | $77.62 |
AmeriHealth Setting Facility Modifier Global Typical Low $575.44 Median $758.58 Typical High $7,585.78 | Facility | Global | $575.44 | $758.58 | $7,585.78 |
AmeriHealth Setting Professional Modifier Global Typical Low $51.29 Median $173.78 Typical High $181.97 | Professional | Global | $51.29 | $173.78 | $181.97 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $151.36 Median $158.49 Typical High $269.15 | Professional | Global | $151.36 | $158.49 | $269.15 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $239.88 Typical High $398.11 | Professional | 50 · Both sides | $229.09 | $239.88 | $398.11 |
Cigna Setting Professional Modifier Global Typical Low $52.48 Median $154.88 Typical High $295.12 | Professional | Global | $52.48 | $154.88 | $295.12 |
Emblem Health Setting Professional Modifier Global Typical Low $165.96 Median $223.87 Typical High $323.59 | Professional | Global | $165.96 | $223.87 | $323.59 |
Geisinger Setting Professional Modifier Global Typical Low $58.88 Median $177.83 Typical High $323.59 | Professional | Global | $58.88 | $177.83 | $323.59 |
Highmark BCBS Setting Facility Modifier Global Typical Low $316.23 Median $446.68 Typical High $912.01 | Facility | Global | $316.23 | $446.68 | $912.01 |
Highmark BCBS Setting Professional Modifier Global Typical Low $53.70 Median $60.26 Typical High $186.21 | Professional | Global | $53.70 | $60.26 | $186.21 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $524.81 Median $707.95 Typical High $3,801.89 | Facility | Global | $524.81 | $707.95 | $3,801.89 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $51.29 Median $147.91 Typical High $208.93 | Professional | Global | $51.29 | $147.91 | $208.93 |
Martin's Point Setting Facility Modifier Global Typical Low $117.49 Median $812.83 Typical High $4,897.79 | Facility | Global | $117.49 | $812.83 | $4,897.79 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 50 · Both sides | $1,096.48 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier Global Typical Low $46.77 Median $138.04 Typical High $288.40 | Professional | Global | $46.77 | $138.04 | $288.40 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $208.93 Typical High $263.03 | Professional | 50 · Both sides | $89.13 | $208.93 | $263.03 |
Oscar Health Setting Professional Modifier Global Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | Global | $380.19 | $407.38 | $407.38 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $158.49 Median $302.00 Typical High $524.81 | Facility | Global | $158.49 | $302.00 | $524.81 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $47.86 Median $123.03 Typical High $173.78 | Professional | Global | $47.86 | $123.03 | $173.78 |
United Setting Facility Modifier Global Typical Low $162.18 Median $630.96 Typical High $4,466.84 | Facility | Global | $162.18 | $630.96 | $4,466.84 |
United Setting Professional Modifier Global Typical Low $50.12 Median $141.25 Typical High $295.12 | Professional | Global | $50.12 | $141.25 | $295.12 |
Where Pennsylvania sits
The same service costs 1.7 times more in South Dakota than in New Hampshire. 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· 36th of 51
$151
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.