How much rates vary
Facilitymedian $2,455 · 10th to 90th $219 to $7,244Professionalmedian $282 · 10th to 90th $200 to $741
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 $173.78 Median $2,398.83 Typical High $7,244.36 | Facility | Global | $173.78 | $2,398.83 | $7,244.36 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 50 · Both sides | $181.97 | $181.97 | $181.97 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $165.96 Median $173.78 Typical High $199.53 | Facility | 54 · Surgery only | $165.96 | $173.78 | $199.53 |
Aetna Setting Professional Modifier Global Typical Low $199.53 Median $302.00 Typical High $741.31 | Professional | Global | $199.53 | $302.00 | $741.31 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $588.84 Typical High $2,041.74 | Professional | 50 · Both sides | $398.11 | $588.84 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $194.98 Typical High $851.14 | Professional | 54 · Surgery only | $147.91 | $194.98 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $36.31 Typical High $54.95 | Professional | 55 · Aftercare only | $29.51 | $36.31 | $54.95 |
Ambetter Setting Professional Modifier Global Typical Low $154.88 Median $165.96 Typical High $302.00 | Professional | Global | $154.88 | $165.96 | $302.00 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,584.89 Median $4,466.84 Typical High $5,754.40 | Facility | Global | $1,584.89 | $4,466.84 | $5,754.40 |
AmeriHealth Setting Professional Modifier Global Typical Low $128.82 Median $208.93 Typical High $257.04 | Professional | Global | $128.82 | $208.93 | $257.04 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $2,344.23 Median $2,398.83 Typical High $57,543.99 | Facility | Global | $2,344.23 | $2,398.83 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $239.88 Median $331.13 Typical High $436.52 | Professional | Global | $239.88 | $331.13 | $436.52 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $501.19 Typical High $660.69 | Professional | 50 · Both sides | $354.81 | $501.19 | $660.69 |
Cigna Setting Facility Modifier Global Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | Global | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier Global Typical Low $194.98 Median $295.12 Typical High $467.74 | Professional | Global | $194.98 | $295.12 | $467.74 |
Emblem Health Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $407.38 | Professional | Global | $302.00 | $302.00 | $407.38 |
Geisinger Setting Professional Modifier Global Typical Low $245.47 Median $323.59 Typical High $588.84 | Professional | Global | $245.47 | $323.59 | $588.84 |
Geisinger Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $263.03 Typical High $338.84 | Professional | 55 · Aftercare only | $208.93 | $263.03 | $338.84 |
Highmark BCBS Setting Facility Modifier Global Typical Low $549.54 Median $1,071.52 Typical High $3,162.28 | Facility | Global | $549.54 | $1,071.52 | $3,162.28 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | 50 · Both sides | $3,311.31 | $3,311.31 | $3,311.31 |
Highmark BCBS Setting Professional Modifier Global Typical Low $245.47 Median $281.84 Typical High $338.84 | Professional | Global | $245.47 | $281.84 | $338.84 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $446.68 Typical High $660.69 | Professional | 50 · Both sides | $371.54 | $446.68 | $660.69 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $741.31 Median $4,168.69 Typical High $5,623.41 | Facility | Global | $741.31 | $4,168.69 | $5,623.41 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $128.82 Median $208.93 Typical High $257.04 | Professional | Global | $128.82 | $208.93 | $257.04 |
Martin's Point Setting Facility Modifier Global Typical Low $537.03 Median $2,398.83 Typical High $7,762.47 | Facility | Global | $537.03 | $2,398.83 | $7,762.47 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 50 · Both sides | $181.97 | $181.97 | $181.97 |
Martin's Point Setting Facility Modifier 54 · Surgery only Typical Low $165.96 Median $173.78 Typical High $213.80 | Facility | 54 · Surgery only | $165.96 | $173.78 | $213.80 |
Martin's Point Setting Professional Modifier Global Typical Low $199.53 Median $281.84 Typical High $676.08 | Professional | Global | $199.53 | $281.84 | $676.08 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $588.84 Typical High $2,041.74 | Professional | 50 · Both sides | $398.11 | $588.84 | $2,041.74 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $194.98 Typical High $309.03 | Professional | 54 · Surgery only | $147.91 | $194.98 | $309.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $36.31 Typical High $57.54 | Professional | 55 · Aftercare only | $29.51 | $36.31 | $57.54 |
Oscar Health Setting Facility Modifier Global Typical Low $213.80 Median $269.15 Typical High $5,754.40 | Facility | Global | $213.80 | $269.15 | $5,754.40 |
Oscar Health Setting Professional Modifier Global Typical Low $446.68 Median $467.74 Typical High $501.19 | Professional | Global | $446.68 | $467.74 | $501.19 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $371.54 Median $707.95 Typical High $1,348.96 | Facility | Global | $371.54 | $707.95 | $1,348.96 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $194.98 Median $229.09 Typical High $446.68 | Professional | Global | $194.98 | $229.09 | $446.68 |
United Setting Facility Modifier Global Typical Low $537.03 Median $1,230.27 Typical High $3,890.45 | Facility | Global | $537.03 | $1,230.27 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $190.55 Median $275.42 Typical High $457.09 | Professional | Global | $190.55 | $275.42 | $457.09 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska 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· 38th of 51
$309
AK $676WV $257
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.