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 $117.49 Median $1,288.25 Typical High $7,244.36 | Facility | Global | $117.49 | $1,288.25 | $7,244.36 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $123.03 Typical High $1,621.81 | Facility | 52 · Reduced service | $23.44 | $123.03 | $1,621.81 |
Aetna Setting Professional Modifier Global Typical Low $40.74 Median $112.20 Typical High $309.03 | Professional | Global | $40.74 | $112.20 | $309.03 |
Ambetter Setting Professional Modifier Global Typical Low $64.57 Median $354.81 Typical High $389.05 | Professional | Global | $64.57 | $354.81 | $389.05 |
AmeriHealth Setting Facility Modifier Global Typical Low $575.44 Median $794.33 Typical High $7,079.46 | Facility | Global | $575.44 | $794.33 | $7,079.46 |
AmeriHealth Setting Professional Modifier Global Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | Global | $44.67 | $44.67 | $57.54 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $89.13 Median $104.71 Typical High $354.81 | Professional | Global | $89.13 | $104.71 | $354.81 |
Cigna Setting Professional Modifier Global Typical Low $44.67 Median $141.25 Typical High $331.13 | Professional | Global | $44.67 | $141.25 | $331.13 |
Emblem Health Setting Professional Modifier Global Typical Low $218.78 Median $302.00 Typical High $426.58 | Professional | Global | $218.78 | $302.00 | $426.58 |
Geisinger Setting Professional Modifier Global Typical Low $52.48 Median $223.87 Typical High $426.58 | Professional | Global | $52.48 | $223.87 | $426.58 |
Highmark BCBS Setting Facility Modifier Global Typical Low $354.81 Median $954.99 Typical High $1,995.26 | Facility | Global | $354.81 | $954.99 | $1,995.26 |
Highmark BCBS Setting Professional Modifier Global Typical Low $46.77 Median $51.29 Typical High $177.83 | Professional | Global | $46.77 | $51.29 | $177.83 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $524.81 Median $707.95 Typical High $7,079.46 | Facility | Global | $524.81 | $707.95 | $7,079.46 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | Global | $44.67 | $44.67 | $57.54 |
Martin's Point Setting Facility Modifier Global Typical Low $158.49 Median $1,584.89 Typical High $7,244.36 | Facility | Global | $158.49 | $1,584.89 | $7,244.36 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $416.87 Typical High $1,621.81 | Facility | 52 · Reduced service | $23.44 | $416.87 | $1,621.81 |
Martin's Point Setting Professional Modifier Global Typical Low $41.69 Median $138.04 Typical High $389.05 | Professional | Global | $41.69 | $138.04 | $389.05 |
Oscar Health Setting Professional Modifier Global Typical Low $407.38 Median $537.03 Typical High $588.84 | Professional | Global | $407.38 | $537.03 | $588.84 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $42.66 Median $42.66 Typical High $204.17 | Facility | Global | $42.66 | $42.66 | $204.17 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $41.69 Median $44.67 Typical High $223.87 | Professional | Global | $41.69 | $44.67 | $223.87 |
United Setting Facility Modifier Global Typical Low $162.18 Median $630.96 Typical High $4,466.84 | Facility | Global | $162.18 | $630.96 | $4,466.84 |
United Setting Professional Modifier Global Typical Low $43.65 Median $186.21 Typical High $363.08 | Professional | Global | $43.65 | $186.21 | $363.08 |
Where Pennsylvania sits
The same service costs 3.4 times more in South Dakota than in Maine. 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· 48th of 51
$155
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.