How much rates vary
Facilitymedian $2,089 · 10th to 90th $331 to $4,786Professionalmedian $224 · 10th to 90th $100 to $490
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 $331.13 Median $2,089.30 Typical High $4,786.30 | Facility | Global | $331.13 | $2,089.30 | $4,786.30 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $2,818.38 Typical High $6,165.95 | Facility | 50 · Both sides | $776.25 | $2,818.38 | $6,165.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $51.29 | Facility | 53 · Discontinued | $21.88 | $21.88 | $51.29 |
Aetna Setting Professional Modifier Global Typical Low $100.00 Median $218.78 Typical High $489.78 | Professional | Global | $100.00 | $218.78 | $489.78 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $354.81 Typical High $891.25 | Professional | 50 · Both sides | $141.25 | $354.81 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $42.66 Typical High $66.07 | Professional | 53 · Discontinued | $19.95 | $42.66 | $66.07 |
Ambetter Setting Professional Modifier Global Typical Low $89.13 Median $204.17 Typical High $398.11 | Professional | Global | $89.13 | $204.17 | $398.11 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $199.53 Typical High $524.81 | Professional | 50 · Both sides | $134.90 | $199.53 | $524.81 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,513.56 Median $1,584.89 Typical High $12,589.25 | Facility | Global | $1,513.56 | $1,584.89 | $12,589.25 |
AmeriHealth Setting Professional Modifier Global Typical Low $114.82 Median $114.82 Typical High $275.42 | Professional | Global | $114.82 | $114.82 | $275.42 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $1,995.26 Median $2,344.23 Typical High $57,543.99 | Facility | Global | $1,995.26 | $2,344.23 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $234.42 Median $331.13 Typical High $416.87 | Professional | Global | $234.42 | $331.13 | $416.87 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $489.78 Typical High $616.60 | Professional | 50 · Both sides | $354.81 | $489.78 | $616.60 |
Cigna Setting Facility Modifier Global Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | Global | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 22 · Increased work | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier Global Typical Low $109.65 Median $218.78 Typical High $457.09 | Professional | Global | $109.65 | $218.78 | $457.09 |
Emblem Health Setting Professional Modifier Global Typical Low $316.23 Median $446.68 Typical High $1,621.81 | Professional | Global | $316.23 | $446.68 | $1,621.81 |
Geisinger Setting Professional Modifier Global Typical Low $147.91 Median $346.74 Typical High $549.54 | Professional | Global | $147.91 | $346.74 | $549.54 |
Highmark BCBS Setting Facility Modifier Global Typical Low $1,202.26 Median $2,137.96 Typical High $3,630.78 | Facility | Global | $1,202.26 | $2,137.96 | $3,630.78 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $1,318.26 Median $3,235.94 Typical High $5,370.32 | Facility | 50 · Both sides | $1,318.26 | $3,235.94 | $5,370.32 |
Highmark BCBS Setting Professional Modifier Global Typical Low $112.20 Median $229.09 Typical High $245.47 | Professional | Global | $112.20 | $229.09 | $245.47 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $165.96 Median $173.78 Typical High $371.54 | Professional | 50 · Both sides | $165.96 | $173.78 | $371.54 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $1,513.56 Median $1,584.89 Typical High $14,454.40 | Facility | Global | $1,513.56 | $1,584.89 | $14,454.40 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $57.54 Median $125.89 Typical High $346.74 | Professional | Global | $57.54 | $125.89 | $346.74 |
Martin's Point Setting Facility Modifier Global Typical Low $263.03 Median $2,041.74 Typical High $4,786.30 | Facility | Global | $263.03 | $2,041.74 | $4,786.30 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $812.83 Median $3,090.30 Typical High $6,606.93 | Facility | 50 · Both sides | $812.83 | $3,090.30 | $6,606.93 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $51.29 | Facility | 53 · Discontinued | $21.88 | $21.88 | $51.29 |
Martin's Point Setting Professional Modifier Global Typical Low $100.00 Median $223.87 Typical High $537.03 | Professional | Global | $100.00 | $223.87 | $537.03 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $354.81 Typical High $870.96 | Professional | 50 · Both sides | $141.25 | $354.81 | $870.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $42.66 Typical High $72.44 | Professional | 53 · Discontinued | $20.42 | $42.66 | $72.44 |
Oscar Health Setting Facility Modifier Global Typical Low $741.31 Median $933.25 Typical High $5,754.40 | Facility | Global | $741.31 | $933.25 | $5,754.40 |
Oscar Health Setting Professional Modifier Global Typical Low $5.01 Median $269.15 Typical High $288.40 | Professional | Global | $5.01 | $269.15 | $288.40 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $223.87 Median $467.74 Typical High $812.83 | Facility | Global | $223.87 | $467.74 | $812.83 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $107.15 Median $234.42 Typical High $257.04 | Professional | Global | $107.15 | $234.42 | $257.04 |
United Setting Facility Modifier Global Typical Low $537.03 Median $1,584.89 Typical High $3,890.45 | Facility | Global | $537.03 | $1,584.89 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $107.15 Median $213.80 Typical High $416.87 | Professional | Global | $107.15 | $213.80 | $416.87 |
Where Pennsylvania sits
The same service costs 7.9 times more in New Jersey 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
NJ $4,718MD $600
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.