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 $251.19 Median $1,698.24 Typical High $4,265.80 | Facility | Global | $251.19 | $1,698.24 | $4,265.80 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier Global Typical Low $81.28 Median $173.78 Typical High $346.74 | Professional | Global | $81.28 | $173.78 | $346.74 |
Ambetter Setting Professional Modifier Global Typical Low $61.66 Median $72.44 Typical High $144.54 | Professional | Global | $61.66 | $72.44 | $144.54 |
AmeriHealth Setting Facility Modifier Global Typical Low $562.34 Median $707.95 Typical High $10,471.29 | Facility | Global | $562.34 | $707.95 | $10,471.29 |
AmeriHealth Setting Professional Modifier Global Typical Low $89.13 Median $91.20 Typical High $977.24 | Professional | Global | $89.13 | $91.20 | $977.24 |
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 $213.80 Median $218.78 Typical High $416.87 | Professional | Global | $213.80 | $218.78 | $416.87 |
Cigna Setting Facility Modifier Global Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | Global | $131.83 | $131.83 | $131.83 |
Cigna 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 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier Global Typical Low $97.72 Median $199.53 Typical High $426.58 | Professional | Global | $97.72 | $199.53 | $426.58 |
Emblem Health Setting Professional Modifier Global Typical Low $229.09 Median $354.81 Typical High $446.68 | Professional | Global | $229.09 | $354.81 | $446.68 |
Geisinger Setting Professional Modifier Global Typical Low $181.97 Median $275.42 Typical High $416.87 | Professional | Global | $181.97 | $275.42 | $416.87 |
Highmark BCBS Setting Facility Modifier Global Typical Low $758.58 Median $1,584.89 Typical High $2,570.40 | Facility | Global | $758.58 | $1,584.89 | $2,570.40 |
Highmark BCBS Setting Professional Modifier Global Typical Low $79.43 Median $95.50 Typical High $144.54 | Professional | Global | $79.43 | $95.50 | $144.54 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $478.63 Median $707.95 Typical High $10,964.78 | Facility | Global | $478.63 | $707.95 | $10,964.78 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $89.13 Median $91.20 Typical High $1,023.29 | Professional | Global | $89.13 | $91.20 | $1,023.29 |
Martin's Point Setting Facility Modifier Global Typical Low $275.42 Median $1,621.81 Typical High $4,466.84 | Facility | Global | $275.42 | $1,621.81 | $4,466.84 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Martin's Point Setting Professional Modifier Global Typical Low $81.28 Median $190.55 Typical High $457.09 | Professional | Global | $81.28 | $190.55 | $457.09 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $223.87 Median $1,412.54 Typical High $2,454.71 | Facility | Global | $223.87 | $1,412.54 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $85.11 Median $218.78 Typical High $239.88 | Professional | Global | $85.11 | $218.78 | $239.88 |
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 $91.20 Median $208.93 Typical High $436.52 | Professional | Global | $91.20 | $208.93 | $436.52 |
Where Pennsylvania sits
The same service costs 1.6 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· 28th of 51
$229
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.