How much rates vary
Facilitymedian $1,230 · 10th to 90th $347 to $7,244Professionalmedian $398 · 10th to 90th $282 to $708
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 $346.74 Median $1,047.13 Typical High $7,244.36 | Facility | Global | $346.74 | $1,047.13 | $7,244.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $269.15 Typical High $851.14 | Facility | 54 · Surgery only | $257.04 | $269.15 | $851.14 |
Aetna Setting Professional Modifier Global Typical Low $281.84 Median $426.58 Typical High $707.95 | Professional | Global | $281.84 | $426.58 | $707.95 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $537.03 Typical High $794.33 | Professional | 50 · Both sides | $524.81 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $446.68 | Professional | 54 · Surgery only | $218.78 | $263.03 | $446.68 |
Ambetter Setting Professional Modifier Global Typical Low $117.49 Median $181.97 Typical High $446.68 | Professional | Global | $117.49 | $181.97 | $446.68 |
AmeriHealth Setting Facility Modifier Global Typical Low $691.83 Median $4,466.84 Typical High $8,128.31 | Facility | Global | $691.83 | $4,466.84 | $8,128.31 |
AmeriHealth Setting Professional Modifier Global Typical Low $177.83 Median $363.08 Typical High $389.05 | Professional | Global | $177.83 | $363.08 | $389.05 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $1,174.90 Median $1,258.93 Typical High $57,543.99 | Facility | Global | $1,174.90 | $1,258.93 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $346.74 Median $501.19 Typical High $588.84 | Professional | Global | $346.74 | $501.19 | $588.84 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $741.31 Typical High $891.25 | Professional | 50 · Both sides | $524.81 | $741.31 | $891.25 |
Cigna Setting Facility Modifier Global Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | Global | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier Global Typical Low $257.04 Median $371.54 Typical High $645.65 | Professional | Global | $257.04 | $371.54 | $645.65 |
Emblem Health Setting Professional Modifier Global Typical Low $457.09 Median $630.96 Typical High $794.33 | Professional | Global | $457.09 | $630.96 | $794.33 |
Geisinger Setting Professional Modifier Global Typical Low $263.03 Median $436.52 Typical High $660.69 | Professional | Global | $263.03 | $436.52 | $660.69 |
Highmark BCBS Setting Facility Modifier Global Typical Low $457.09 Median $588.84 Typical High $1,096.48 | Facility | Global | $457.09 | $588.84 | $1,096.48 |
Highmark BCBS Setting Facility Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $912.01 | Facility | 54 · Surgery only | $302.00 | $302.00 | $912.01 |
Highmark BCBS Setting Professional Modifier Global Typical Low $338.84 Median $363.08 Typical High $446.68 | Professional | Global | $338.84 | $363.08 | $446.68 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $588.84 Typical High $630.96 | Professional | 50 · Both sides | $501.19 | $588.84 | $630.96 |
Highmark BCBS Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $239.88 Typical High $251.19 | Professional | 54 · Surgery only | $177.83 | $239.88 | $251.19 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $331.13 Median $3,630.78 Typical High $6,760.83 | Facility | Global | $331.13 | $3,630.78 | $6,760.83 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $177.83 Median $363.08 Typical High $407.38 | Professional | Global | $177.83 | $363.08 | $407.38 |
Martin's Point Setting Facility Modifier Global Typical Low $363.08 Median $1,023.29 Typical High $6,165.95 | Facility | Global | $363.08 | $1,023.29 | $6,165.95 |
Martin's Point Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $691.83 Typical High $851.14 | Facility | 54 · Surgery only | $257.04 | $691.83 | $851.14 |
Martin's Point Setting Professional Modifier Global Typical Low $281.84 Median $389.05 Typical High $707.95 | Professional | Global | $281.84 | $389.05 | $707.95 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $537.03 Typical High $794.33 | Professional | 50 · Both sides | $524.81 | $537.03 | $794.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $269.15 Typical High $446.68 | Professional | 54 · Surgery only | $218.78 | $269.15 | $446.68 |
Oscar Health Setting Professional Modifier Global Typical Low $3.02 Median $331.13 Typical High $416.87 | Professional | Global | $3.02 | $331.13 | $416.87 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $323.59 Median $323.59 Typical High $338.84 | Facility | Global | $323.59 | $323.59 | $338.84 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | Global | $316.23 | $331.13 | $363.08 |
United Setting Facility Modifier Global Typical Low $302.00 Median $630.96 Typical High $3,890.45 | Facility | Global | $302.00 | $630.96 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $251.19 Median $354.81 Typical High $645.65 | Professional | Global | $251.19 | $354.81 | $645.65 |
Where Pennsylvania sits
The same service costs 2.7 times more in Wisconsin than in Kentucky. 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· 23rd of 51
$437
WI $912KY $339
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.