How much rates vary
Facilitymedian $2,630 · 10th to 90th $692 to $6,310Professionalmedian $263 · 10th to 90th $138 to $1,318
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 $645.65 Median $2,570.40 Typical High $6,309.57 | Facility | Global | $645.65 | $2,570.40 | $6,309.57 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $616.60 | Facility | 52 · Reduced service | $79.43 | $79.43 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $245.47 | Facility | 53 · Discontinued | $31.62 | $31.62 | $245.47 |
Aetna Setting Professional Modifier Global Typical Low $141.25 Median $263.03 Typical High $1,258.93 | Professional | Global | $141.25 | $263.03 | $1,258.93 |
Ambetter Setting Professional Modifier Global Typical Low $120.23 Median $173.78 Typical High $1,122.02 | Professional | Global | $120.23 | $173.78 | $1,122.02 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,454.71 Median $3,467.37 Typical High $8,511.38 | Facility | Global | $2,454.71 | $3,467.37 | $8,511.38 |
AmeriHealth Setting Professional Modifier Global Typical Low $95.50 Median $190.55 Typical High $208.93 | Professional | Global | $95.50 | $190.55 | $208.93 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $2,630.27 Median $2,691.53 Typical High $57,543.99 | Facility | Global | $2,630.27 | $2,691.53 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $234.42 Median $1,584.89 Typical High $1,905.46 | Professional | Global | $234.42 | $1,584.89 | $1,905.46 |
Cigna Setting Facility Modifier Global Typical Low $239.88 Median $1,288.25 Typical High $2,398.83 | Facility | Global | $239.88 | $1,288.25 | $2,398.83 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 22 · Increased work | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier Global Typical Low $158.49 Median $269.15 Typical High $1,698.24 | Professional | Global | $158.49 | $269.15 | $1,698.24 |
Emblem Health Setting Facility Modifier Global Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | Global | $309.03 | $309.03 | $309.03 |
Emblem Health Setting Professional Modifier Global Typical Low $239.88 Median $1,513.56 Typical High $2,398.83 | Professional | Global | $239.88 | $1,513.56 | $2,398.83 |
Geisinger Setting Facility Modifier Global Typical Low $977.24 Median $1,288.25 Typical High $1,548.82 | Facility | Global | $977.24 | $1,288.25 | $1,548.82 |
Geisinger Setting Professional Modifier Global Typical Low $162.18 Median $1,122.02 Typical High $1,862.09 | Professional | Global | $162.18 | $1,122.02 | $1,862.09 |
Highmark BCBS Setting Facility Modifier Global Typical Low $1,174.90 Median $3,890.45 Typical High $7,413.10 | Facility | Global | $1,174.90 | $3,890.45 | $7,413.10 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $4,365.16 Median $4,365.16 Typical High $4,466.84 | Facility | 52 · Reduced service | $4,365.16 | $4,365.16 | $4,466.84 |
Highmark BCBS Setting Professional Modifier Global Typical Low $165.96 Median $190.55 Typical High $269.15 | Professional | Global | $165.96 | $190.55 | $269.15 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $1,995.26 Median $3,162.28 Typical High $7,585.78 | Facility | Global | $1,995.26 | $3,162.28 | $7,585.78 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $95.50 Median $104.71 Typical High $204.17 | Professional | Global | $95.50 | $104.71 | $204.17 |
Martin's Point Setting Facility Modifier Global Typical Low $630.96 Median $2,570.40 Typical High $6,309.57 | Facility | Global | $630.96 | $2,570.40 | $6,309.57 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $616.60 | Facility | 52 · Reduced service | $79.43 | $79.43 | $616.60 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $245.47 | Facility | 53 · Discontinued | $31.62 | $31.62 | $245.47 |
Martin's Point Setting Professional Modifier Global Typical Low $147.91 Median $389.05 Typical High $1,778.28 | Professional | Global | $147.91 | $389.05 | $1,778.28 |
Oscar Health Setting Professional Modifier Global Typical Low $218.78 Median $229.09 Typical High $389.05 | Professional | Global | $218.78 | $229.09 | $389.05 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $851.14 Median $1,445.44 Typical High $2,951.21 | Facility | Global | $851.14 | $1,445.44 | $2,951.21 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $147.91 Median $302.00 Typical High $1,071.52 | Professional | Global | $147.91 | $302.00 | $1,071.52 |
United Setting Facility Modifier Global Typical Low $575.44 Median $2,570.40 Typical High $6,025.60 | Facility | Global | $575.44 | $2,570.40 | $6,025.60 |
United Setting Professional Modifier Global Typical Low $141.25 Median $269.15 Typical High $1,548.82 | Professional | Global | $141.25 | $269.15 | $1,548.82 |
Where Pennsylvania sits
The same service costs 4.6 times more in California than in Montana. 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 $5,438MT $1,175
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.