How much rates vary
Facilitymedian $2,089 · 10th to 90th $269 to $7,244Professionalmedian $245 · 10th to 90th $78 to $525
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 $269.15 Median $2,187.76 Typical High $7,244.36 | Facility | Global | $269.15 | $2,187.76 | $7,244.36 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $107.15 Typical High $134.90 | Facility | 52 · Reduced service | $42.66 | $107.15 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $53.70 | Facility | 53 · Discontinued | $16.98 | $16.98 | $53.70 |
Aetna Setting Professional Modifier Global Typical Low $77.62 Median $251.19 Typical High $537.03 | Professional | Global | $77.62 | $251.19 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $87.10 Typical High $151.36 | Professional | 52 · Reduced service | $38.02 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $34.67 Typical High $61.66 | Professional | 53 · Discontinued | $15.14 | $34.67 | $61.66 |
Ambetter Setting Professional Modifier Global Typical Low $69.18 Median $223.87 Typical High $371.54 | Professional | Global | $69.18 | $223.87 | $371.54 |
AmeriHealth Setting Facility Modifier Global Typical Low $660.69 Median $707.95 Typical High $16,982.44 | Facility | Global | $660.69 | $707.95 | $16,982.44 |
AmeriHealth Setting Professional Modifier Global Typical Low $97.72 Median $295.12 Typical High $338.84 | Professional | Global | $97.72 | $295.12 | $338.84 |
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 $123.03 Median $446.68 Typical High $446.68 | Professional | Global | $123.03 | $446.68 | $446.68 |
Cigna Setting Professional Modifier Global Typical Low $91.20 Median $208.93 Typical High $363.08 | Professional | Global | $91.20 | $208.93 | $363.08 |
Emblem Health Setting Professional Modifier Global Typical Low $20.42 Median $223.87 Typical High $371.54 | Professional | Global | $20.42 | $223.87 | $371.54 |
Geisinger Setting Facility Modifier Global Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | Global | $309.03 | $309.03 | $309.03 |
Geisinger Setting Professional Modifier Global Typical Low $128.82 Median $251.19 Typical High $371.54 | Professional | Global | $128.82 | $251.19 | $371.54 |
Highmark BCBS Setting Facility Modifier Global Typical Low $977.24 Median $1,621.81 Typical High $3,090.30 | Facility | Global | $977.24 | $1,621.81 | $3,090.30 |
Highmark BCBS Setting Facility Modifier 22 · Increased work Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | 22 · Increased work | $3,235.94 | $3,235.94 | $3,235.94 |
Highmark BCBS Setting Professional Modifier Global Typical Low $309.03 Median $323.59 Typical High $354.81 | Professional | Global | $309.03 | $323.59 | $354.81 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $16,982.44 Median $17,378.01 Typical High $21,877.62 | Facility | Global | $16,982.44 | $17,378.01 | $21,877.62 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $97.72 Median $295.12 Typical High $331.13 | Professional | Global | $97.72 | $295.12 | $331.13 |
Martin's Point Setting Facility Modifier Global Typical Low $269.15 Median $1,995.26 Typical High $6,606.93 | Facility | Global | $269.15 | $1,995.26 | $6,606.93 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $134.90 | Facility | 52 · Reduced service | $42.66 | $42.66 | $134.90 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $53.70 | Facility | 53 · Discontinued | $16.98 | $16.98 | $53.70 |
Martin's Point Setting Professional Modifier Global Typical Low $77.62 Median $234.42 Typical High $524.81 | Professional | Global | $77.62 | $234.42 | $524.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $87.10 Typical High $147.91 | Professional | 52 · Reduced service | $38.02 | $87.10 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $34.67 Typical High $58.88 | Professional | 53 · Discontinued | $15.14 | $34.67 | $58.88 |
Oscar Health Setting Facility Modifier Global Typical Low $1,122.02 Median $1,412.54 Typical High $5,754.40 | Facility | Global | $1,122.02 | $1,412.54 | $5,754.40 |
Oscar Health Setting Professional Modifier Global Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | Global | $218.78 | $218.78 | $229.09 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $229.09 Median $1,071.52 Typical High $2,187.76 | Facility | Global | $229.09 | $1,071.52 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $77.62 Median $208.93 Typical High $251.19 | Professional | Global | $77.62 | $208.93 | $251.19 |
United Setting Facility Modifier Global Typical Low $537.03 Median $1,513.56 Typical High $3,890.45 | Facility | Global | $537.03 | $1,513.56 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $83.18 Median $181.97 Typical High $331.13 | Professional | Global | $83.18 | $181.97 | $331.13 |
Where Pennsylvania sits
The same service costs 2.3 times more in Wisconsin than in West Virginia. 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· 21st of 51
$295
WI $457WV $200
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.