How much rates vary
Facilitymedian $1,549 · 10th to 90th $347 to $4,169Professionalmedian $162 · 10th to 90th $91 to $589
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 $338.84 Median $1,479.11 Typical High $4,073.80 | Facility | Global | $338.84 | $1,479.11 | $4,073.80 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $741.31 Median $4,570.88 Typical High $4,570.88 | Facility | 50 · Both sides | $741.31 | $4,570.88 | $4,570.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $57.54 Median $173.78 Typical High $575.44 | Facility | 52 · Reduced service | $57.54 | $173.78 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $70.79 | Facility | 53 · Discontinued | $22.91 | $22.91 | $70.79 |
Aetna Setting Professional Modifier Global Typical Low $91.20 Median $158.49 Typical High $575.44 | Professional | Global | $91.20 | $158.49 | $575.44 |
Ambetter Setting Professional Modifier Global Typical Low $89.13 Median $112.20 Typical High $151.36 | Professional | Global | $89.13 | $112.20 | $151.36 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,454.71 Median $3,162.28 Typical High $7,585.78 | Facility | Global | $2,454.71 | $3,162.28 | $7,585.78 |
AmeriHealth Setting Professional Modifier Global Typical Low $56.23 Median $112.20 Typical High $346.74 | Professional | Global | $56.23 | $112.20 | $346.74 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $2,344.23 Median $2,570.40 Typical High $57,543.99 | Facility | Global | $2,344.23 | $2,570.40 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $263.03 Median $457.09 Typical High $691.83 | Professional | Global | $263.03 | $457.09 | $691.83 |
Cigna Setting Professional Modifier Global Typical Low $120.23 Median $239.88 Typical High $758.58 | Professional | Global | $120.23 | $239.88 | $758.58 |
Emblem Health Setting Professional Modifier Global Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | Global | $512.86 | $512.86 | $524.81 |
Geisinger Setting Facility Modifier Global Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | Global | $346.74 | $346.74 | $346.74 |
Geisinger Setting Professional Modifier Global Typical Low $125.89 Median $436.52 Typical High $812.83 | Professional | Global | $125.89 | $436.52 | $812.83 |
Highmark BCBS Setting Facility Modifier Global Typical Low $851.14 Median $1,479.11 Typical High $2,570.40 | Facility | Global | $851.14 | $1,479.11 | $2,570.40 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $1,548.82 Median $1,819.70 Typical High $2,344.23 | Facility | 50 · Both sides | $1,548.82 | $1,819.70 | $2,344.23 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,096.48 |
Highmark BCBS Setting Professional Modifier Global Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | Global | $117.49 | $117.49 | $117.49 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $851.14 Median $3,019.95 Typical High $5,754.40 | Facility | Global | $851.14 | $3,019.95 | $5,754.40 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $56.23 Median $112.20 Typical High $346.74 | Professional | Global | $56.23 | $112.20 | $346.74 |
Martin's Point Setting Facility Modifier Global Typical Low $354.81 Median $1,584.89 Typical High $4,466.84 | Facility | Global | $354.81 | $1,584.89 | $4,466.84 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $741.31 Median $1,000.00 Typical High $4,570.88 | Facility | 50 · Both sides | $741.31 | $1,000.00 | $4,570.88 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $57.54 Median $575.44 Typical High $575.44 | Facility | 52 · Reduced service | $57.54 | $575.44 | $575.44 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $70.79 | Facility | 53 · Discontinued | $22.91 | $22.91 | $70.79 |
Martin's Point Setting Professional Modifier Global Typical Low $97.72 Median $213.80 Typical High $676.08 | Professional | Global | $97.72 | $213.80 | $676.08 |
Oscar Health Setting Professional Modifier Global Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | Global | $199.53 | $199.53 | $208.93 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $302.00 Median $912.01 Typical High $1,621.81 | Facility | Global | $302.00 | $912.01 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $102.33 Median $109.65 Typical High $331.13 | Professional | Global | $102.33 | $109.65 | $331.13 |
United Setting Facility Modifier Global Typical Low $588.84 Median $1,412.54 Typical High $3,890.45 | Facility | Global | $588.84 | $1,412.54 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $104.71 Median $245.47 Typical High $724.44 | Professional | Global | $104.71 | $245.47 | $724.44 |
Where Pennsylvania sits
The same service costs 7.6 times more in California than in North 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.
Physician feeFacility fee
CA $4,464ND $585
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.