How much rates vary
Facilitymedian $1,047 · 10th to 90th $93 to $6,166Professionalmedian $138 · 10th to 90th $76 to $302
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 $93.33 Median $1,202.26 Typical High $6,165.95 | Facility | Global | $93.33 | $1,202.26 | $6,165.95 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $46.77 | Facility | 52 · Reduced service | $28.18 | $28.18 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $18.62 | Facility | 53 · Discontinued | $11.22 | $11.22 | $18.62 |
Aetna Setting Professional Modifier Global Typical Low $77.62 Median $138.04 Typical High $302.00 | Professional | Global | $77.62 | $138.04 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $45.71 Typical High $69.18 | Professional | 52 · Reduced service | $28.18 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $19.50 Typical High $45.71 | Professional | 53 · Discontinued | $11.22 | $19.50 | $45.71 |
Ambetter Setting Professional Modifier Global Typical Low $79.43 Median $128.82 Typical High $169.82 | Professional | Global | $79.43 | $128.82 | $169.82 |
AmeriHealth Setting Facility Modifier Global Typical Low $549.54 Median $707.95 Typical High $9,120.11 | Facility | Global | $549.54 | $707.95 | $9,120.11 |
AmeriHealth Setting Professional Modifier Global Typical Low $53.70 Median $58.88 Typical High $114.82 | Professional | Global | $53.70 | $58.88 | $114.82 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $1,174.90 Median $1,258.93 Typical High $57,543.99 | Facility | Global | $1,174.90 | $1,258.93 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $97.72 Median $169.82 Typical High $251.19 | Professional | Global | $97.72 | $169.82 | $251.19 |
Cigna Setting Professional Modifier Global Typical Low $70.79 Median $117.49 Typical High $186.21 | Professional | Global | $70.79 | $117.49 | $186.21 |
Emblem Health Setting Professional Modifier Global Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | Global | $158.49 | $158.49 | $169.82 |
Geisinger Setting Facility Modifier Global Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | Global | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier Global Typical Low $93.33 Median $128.82 Typical High $208.93 | Professional | Global | $93.33 | $128.82 | $208.93 |
Highmark BCBS Setting Facility Modifier Global Typical Low $407.38 Median $812.83 Typical High $1,122.02 | Facility | Global | $407.38 | $812.83 | $1,122.02 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Highmark BCBS Setting Facility Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $575.44 | Facility | 53 · Discontinued | $524.81 | $524.81 | $575.44 |
Highmark BCBS Setting Professional Modifier Global Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | Global | $169.82 | $169.82 | $169.82 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $275.42 Median $691.83 Typical High $8,709.64 | Facility | Global | $275.42 | $691.83 | $8,709.64 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $53.70 Median $91.20 Typical High $123.03 | Professional | Global | $53.70 | $91.20 | $123.03 |
Martin's Point Setting Facility Modifier Global Typical Low $93.33 Median $1,288.25 Typical High $6,165.95 | Facility | Global | $93.33 | $1,288.25 | $6,165.95 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $46.77 | Facility | 52 · Reduced service | $28.18 | $28.18 | $46.77 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $18.62 | Facility | 53 · Discontinued | $11.22 | $11.22 | $18.62 |
Martin's Point Setting Professional Modifier Global Typical Low $60.26 Median $120.23 Typical High $269.15 | Professional | Global | $60.26 | $120.23 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $45.71 Typical High $75.86 | Professional | 52 · Reduced service | $28.18 | $45.71 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $18.62 Typical High $42.66 | Professional | 53 · Discontinued | $11.22 | $18.62 | $42.66 |
Oscar Health Setting Professional Modifier Global Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | Global | $95.50 | $95.50 | $102.33 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $102.33 Median $724.44 Typical High $1,380.38 | Facility | Global | $102.33 | $724.44 | $1,380.38 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $61.66 Median $97.72 Typical High $104.71 | Professional | Global | $61.66 | $97.72 | $104.71 |
United Setting Facility Modifier Global Typical Low $245.47 Median $575.44 Typical High $3,890.45 | Facility | Global | $245.47 | $575.44 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $67.61 Median $107.15 Typical High $165.96 | Professional | Global | $67.61 | $107.15 | $165.96 |
Where Pennsylvania sits
The same service costs 3.7 times more in Wisconsin 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· 29th of 51
$148
WI $372ME $100
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.