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 $46.77 Median $173.78 Typical High $501.19 | Facility | Global | $46.77 | $173.78 | $501.19 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $93.33 Median $457.09 Typical High $851.14 | Facility | 50 · Both sides | $93.33 | $457.09 | $851.14 |
Aetna Setting Professional Modifier Global Typical Low $24.55 Median $74.13 Typical High $125.89 | Professional | Global | $24.55 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $33.11 Median $138.04 Typical High $354.81 | Professional | 50 · Both sides | $33.11 | $138.04 | $354.81 |
Ambetter Setting Professional Modifier Global Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | Global | $79.43 | $89.13 | $93.33 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 50 · Both sides | $120.23 | $120.23 | $131.83 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | Global | $1,905.46 | $1,905.46 | $1,905.46 |
AmeriHealth Setting Professional Modifier Global Typical Low $95.50 Median $97.72 Typical High $109.65 | Professional | Global | $95.50 | $97.72 | $109.65 |
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 $85.11 Median $95.50 Typical High $151.36 | Professional | Global | $85.11 | $95.50 | $151.36 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $147.91 Typical High $223.87 | Professional | 50 · Both sides | $125.89 | $147.91 | $223.87 |
Cigna Setting Facility Modifier Global Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | Global | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier Global Typical Low $25.70 Median $72.44 Typical High $147.91 | Professional | Global | $25.70 | $72.44 | $147.91 |
Emblem Health Setting Professional Modifier Global Typical Low $100.00 Median $138.04 Typical High $173.78 | Professional | Global | $100.00 | $138.04 | $173.78 |
Geisinger Setting Professional Modifier Global Typical Low $33.11 Median $89.13 Typical High $144.54 | Professional | Global | $33.11 | $89.13 | $144.54 |
Highmark BCBS Setting Facility Modifier Global Typical Low $125.89 Median $338.84 Typical High $588.84 | Facility | Global | $125.89 | $338.84 | $588.84 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $162.18 Median $549.54 Typical High $891.25 | Facility | 50 · Both sides | $162.18 | $549.54 | $891.25 |
Highmark BCBS Setting Professional Modifier Global Typical Low $26.92 Median $83.18 Typical High $89.13 | Professional | Global | $26.92 | $83.18 | $89.13 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $39.81 Typical High $141.25 | Professional | 50 · Both sides | $39.81 | $39.81 | $141.25 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $1,905.46 Median $1,905.46 Typical High $2,398.83 | Facility | Global | $1,905.46 | $1,905.46 | $2,398.83 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $95.50 Median $97.72 Typical High $109.65 | Professional | Global | $95.50 | $97.72 | $109.65 |
Martin's Point Setting Facility Modifier Global Typical Low $41.69 Median $229.09 Typical High $562.34 | Facility | Global | $41.69 | $229.09 | $562.34 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $91.20 Median $457.09 Typical High $851.14 | Facility | 50 · Both sides | $91.20 | $457.09 | $851.14 |
Martin's Point Setting Professional Modifier Global Typical Low $25.70 Median $74.13 Typical High $128.82 | Professional | Global | $25.70 | $74.13 | $128.82 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $33.11 Median $138.04 Typical High $354.81 | Professional | 50 · Both sides | $33.11 | $138.04 | $354.81 |
Oscar Health Setting Professional Modifier Global Typical Low $3.02 Median $100.00 Typical High $107.15 | Professional | Global | $3.02 | $100.00 | $107.15 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $85.11 Median $190.55 Typical High $389.05 | Facility | Global | $85.11 | $190.55 | $389.05 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $26.30 Median $85.11 Typical High $85.11 | Professional | Global | $26.30 | $85.11 | $85.11 |
United Setting Facility Modifier Global Typical Low $213.80 Median $524.81 Typical High $3,890.45 | Facility | Global | $213.80 | $524.81 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $25.70 Median $64.57 Typical High $144.54 | Professional | Global | $25.70 | $64.57 | $144.54 |
Where Pennsylvania sits
The same service costs 2.1 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
$85.11
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.