How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,047 to $10,000Professionalmedian $447 · 10th to 90th $309 to $1,000
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 $1,096.48 Median $5,370.32 Typical High $10,000.00 | Facility | Global | $1,096.48 | $5,370.32 | $10,000.00 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $5,888.44 Typical High $6,025.60 | Facility | 50 · Both sides | $3,801.89 | $5,888.44 | $6,025.60 |
Aetna Setting Professional Modifier Global Typical Low $309.03 Median $446.68 Typical High $1,047.13 | Professional | Global | $309.03 | $446.68 | $1,047.13 |
Ambetter Setting Professional Modifier Global Typical Low $234.42 Median $302.00 Typical High $501.19 | Professional | Global | $234.42 | $302.00 | $501.19 |
AmeriHealth Setting Facility Modifier Global Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | Global | $11,748.98 | $11,748.98 | $11,748.98 |
AmeriHealth Setting Professional Modifier Global Typical Low $436.52 Median $436.52 Typical High $549.54 | Professional | Global | $436.52 | $436.52 | $549.54 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $6,456.54 Median $6,606.93 Typical High $57,543.99 | Facility | Global | $6,456.54 | $6,606.93 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $323.59 Median $537.03 Typical High $831.76 | Professional | Global | $323.59 | $537.03 | $831.76 |
Cigna Setting Professional Modifier Global Typical Low $309.03 Median $436.52 Typical High $676.08 | Professional | Global | $309.03 | $436.52 | $676.08 |
Emblem Health Setting Professional Modifier Global Typical Low $489.78 Median $489.78 Typical High $524.81 | Professional | Global | $489.78 | $489.78 | $524.81 |
Geisinger Setting Facility Modifier Global Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | Global | $1,737.80 | $1,737.80 | $1,737.80 |
Geisinger Setting Professional Modifier Global Typical Low $323.59 Median $436.52 Typical High $691.83 | Professional | Global | $323.59 | $436.52 | $691.83 |
Highmark BCBS Setting Facility Modifier Global Typical Low $3,467.37 Median $8,128.31 Typical High $16,218.10 | Facility | Global | $3,467.37 | $8,128.31 | $16,218.10 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $10,964.78 Typical High $15,488.17 | Facility | 50 · Both sides | $4,677.35 | $10,964.78 | $15,488.17 |
Highmark BCBS Setting Professional Modifier Global Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | Global | $501.19 | $501.19 | $501.19 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $11,748.98 Median $11,748.98 Typical High $14,791.08 | Facility | Global | $11,748.98 | $11,748.98 | $14,791.08 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | Global | $436.52 | $436.52 | $478.63 |
Martin's Point Setting Facility Modifier Global Typical Low $851.14 Median $5,370.32 Typical High $10,471.29 | Facility | Global | $851.14 | $5,370.32 | $10,471.29 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $5,888.44 Typical High $7,244.36 | Facility | 50 · Both sides | $3,801.89 | $5,888.44 | $7,244.36 |
Martin's Point Setting Professional Modifier Global Typical Low $309.03 Median $436.52 Typical High $1,288.25 | Professional | Global | $309.03 | $436.52 | $1,288.25 |
Oscar Health Setting Professional Modifier Global Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | Global | $489.78 | $489.78 | $512.86 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $524.81 Median $1,023.29 Typical High $1,778.28 | Facility | Global | $524.81 | $1,023.29 | $1,778.28 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $331.13 Median $346.74 Typical High $467.74 | Professional | Global | $331.13 | $346.74 | $467.74 |
United Setting Facility Modifier Global Typical Low $1,659.59 Median $3,890.45 Typical High $10,471.29 | Facility | Global | $1,659.59 | $3,890.45 | $10,471.29 |
United Setting Professional Modifier Global Typical Low $309.03 Median $416.87 Typical High $707.95 | Professional | Global | $309.03 | $416.87 | $707.95 |
Where Pennsylvania sits
The same service costs 10.7 times more in Wisconsin 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.
Physician feeFacility fee
WI $8,657MD $807
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.