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 $1,445.44 Median $6,165.95 Typical High $9,772.37 | Facility | Global | $1,445.44 | $6,165.95 | $9,772.37 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,951.21 Median $3,715.35 Typical High $20,417.38 | Facility | Global | $2,951.21 | $3,715.35 | $20,417.38 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $20,417.38 Median $21,379.62 Typical High $57,543.99 | Facility | Global | $20,417.38 | $21,379.62 | $57,543.99 |
Highmark BCBS Setting Facility Modifier Global Typical Low $5,370.32 Median $8,709.64 Typical High $21,877.62 | Facility | Global | $5,370.32 | $8,709.64 | $21,877.62 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $7,762.47 Median $12,882.50 Typical High $21,379.62 | Facility | 50 · Both sides | $7,762.47 | $12,882.50 | $21,379.62 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $2,754.23 Median $3,715.35 Typical High $16,218.10 | Facility | Global | $2,754.23 | $3,715.35 | $16,218.10 |
Martin's Point Setting Facility Modifier Global Typical Low $1,288.25 Median $5,495.41 Typical High $9,772.37 | Facility | Global | $1,288.25 | $5,495.41 | $9,772.37 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $4,073.80 Median $6,760.83 Typical High $12,022.64 | Facility | Global | $4,073.80 | $6,760.83 | $12,022.64 |
United Setting Facility Modifier Global Typical Low $1,737.80 Median $3,467.37 Typical High $5,623.41 | Facility | Global | $1,737.80 | $3,467.37 | $5,623.41 |
Where Pennsylvania sits
The same service costs 38.9 times more in West Virginia than in Maryland. 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· 16th of 50
$6,026
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.