How much rates vary
Facilitymedian $1,995 · 10th to 90th $295 to $7,244Professionalmedian $316 · 10th to 90th $229 to $891
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 $275.42 Median $2,344.23 Typical High $7,762.47 | Facility | Global | $275.42 | $2,344.23 | $7,762.47 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 50 · Both sides | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $245.47 | Facility | 54 · Surgery only | $190.55 | $190.55 | $245.47 |
Aetna Setting Professional Modifier Global Typical Low $229.09 Median $316.23 Typical High $1,071.52 | Professional | Global | $229.09 | $316.23 | $1,071.52 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $512.86 Typical High $1,621.81 | Professional | 50 · Both sides | $338.84 | $512.86 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $213.80 Typical High $316.23 | Professional | 54 · Surgery only | $169.82 | $213.80 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $43.65 Typical High $63.10 | Professional | 55 · Aftercare only | $33.88 | $43.65 | $63.10 |
Ambetter Setting Professional Modifier Global Typical Low $194.98 Median $245.47 Typical High $489.78 | Professional | Global | $194.98 | $245.47 | $489.78 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,318.26 Median $1,737.80 Typical High $2,754.23 | Facility | Global | $1,318.26 | $1,737.80 | $2,754.23 |
AmeriHealth Setting Professional Modifier Global Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | Global | $239.88 | $239.88 | $316.23 |
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 $288.40 Median $426.58 Typical High $707.95 | Professional | Global | $288.40 | $426.58 | $707.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $645.65 Typical High $1,071.52 | Professional | 50 · Both sides | $426.58 | $645.65 | $1,071.52 |
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 $229.09 Median $354.81 Typical High $562.34 | Professional | Global | $229.09 | $354.81 | $562.34 |
Emblem Health Setting Professional Modifier Global Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | Global | $363.08 | $363.08 | $501.19 |
Geisinger Setting Professional Modifier Global Typical Low $302.00 Median $398.11 Typical High $630.96 | Professional | Global | $302.00 | $398.11 | $630.96 |
Highmark BCBS Setting Facility Modifier Global Typical Low $977.24 Median $1,047.13 Typical High $2,454.71 | Facility | Global | $977.24 | $1,047.13 | $2,454.71 |
Highmark BCBS Setting Professional Modifier Global Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | Global | $281.84 | $338.84 | $389.05 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $537.03 Typical High $537.03 | Professional | 50 · Both sides | $398.11 | $537.03 | $537.03 |
Highmark BCBS Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $199.53 | $251.19 | $251.19 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $741.31 Median $1,659.59 Typical High $2,344.23 | Facility | Global | $741.31 | $1,659.59 | $2,344.23 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | Global | $239.88 | $239.88 | $316.23 |
Martin's Point Setting Facility Modifier Global Typical Low $478.63 Median $2,089.30 Typical High $7,762.47 | Facility | Global | $478.63 | $2,089.30 | $7,762.47 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 50 · Both sides | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Facility Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $245.47 | Facility | 54 · Surgery only | $190.55 | $190.55 | $245.47 |
Martin's Point Setting Professional Modifier Global Typical Low $229.09 Median $302.00 Typical High $851.14 | Professional | Global | $229.09 | $302.00 | $851.14 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $512.86 Typical High $2,691.53 | Professional | 50 · Both sides | $338.84 | $512.86 | $2,691.53 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $218.78 Typical High $371.54 | Professional | 54 · Surgery only | $169.82 | $218.78 | $371.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $43.65 Typical High $74.13 | Professional | 55 · Aftercare only | $33.88 | $43.65 | $74.13 |
Oscar Health Setting Facility Modifier Global Typical Low $295.12 Median $371.54 Typical High $5,754.40 | Facility | Global | $295.12 | $371.54 | $5,754.40 |
Oscar Health Setting Professional Modifier Global Typical Low $416.87 Median $436.52 Typical High $446.68 | Professional | Global | $416.87 | $436.52 | $446.68 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $223.87 Median $223.87 Typical High $288.40 | Facility | Global | $223.87 | $223.87 | $288.40 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $223.87 Median $281.84 Typical High $309.03 | Professional | Global | $223.87 | $281.84 | $309.03 |
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 $218.78 Median $323.59 Typical High $537.03 | Professional | Global | $218.78 | $323.59 | $537.03 |
Where Pennsylvania sits
The same service costs 3.4 times more in Wyoming 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· 46th of 51
$324
WY $1,000WV $295
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.