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 $275.42 Median $2,187.76 Typical High $7,244.36 | Facility | Global | $275.42 | $2,187.76 | $7,244.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $269.15 | Facility | 54 · Surgery only | $251.19 | $251.19 | $269.15 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $54.95 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier Global Typical Low $275.42 Median $354.81 Typical High $707.95 | Professional | Global | $275.42 | $354.81 | $707.95 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $501.19 Typical High $1,412.54 | Professional | 50 · Both sides | $407.38 | $501.19 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $245.47 Typical High $389.05 | Professional | 54 · Surgery only | $213.80 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $75.86 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $75.86 |
Ambetter Setting Professional Modifier Global Typical Low $263.03 Median $338.84 Typical High $416.87 | Professional | Global | $263.03 | $338.84 | $416.87 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,290.87 Median $3,162.28 Typical High $5,754.40 | Facility | Global | $2,290.87 | $3,162.28 | $5,754.40 |
AmeriHealth Setting Professional Modifier Global Typical Low $323.59 Median $346.74 Typical High $371.54 | Professional | Global | $323.59 | $346.74 | $371.54 |
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 $309.03 Median $457.09 Typical High $588.84 | Professional | Global | $309.03 | $457.09 | $588.84 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $562.34 Typical High $891.25 | Professional | 50 · Both sides | $457.09 | $562.34 | $891.25 |
Cigna Setting Facility Modifier Global Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | Global | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier Global Typical Low $251.19 Median $338.84 Typical High $575.44 | Professional | Global | $251.19 | $338.84 | $575.44 |
Emblem Health Setting Professional Modifier Global Typical Low $144.54 Median $269.15 Typical High $562.34 | Professional | Global | $144.54 | $269.15 | $562.34 |
Geisinger Setting Professional Modifier Global Typical Low $251.19 Median $338.84 Typical High $588.84 | Professional | Global | $251.19 | $338.84 | $588.84 |
Geisinger Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $234.42 Typical High $275.42 | Professional | 55 · Aftercare only | $173.78 | $234.42 | $275.42 |
Highmark BCBS Setting Facility Modifier Global Typical Low $416.87 Median $1,862.09 Typical High $3,162.28 | Facility | Global | $416.87 | $1,862.09 | $3,162.28 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | 50 · Both sides | $3,801.89 | $3,801.89 | $3,801.89 |
Highmark BCBS Setting Professional Modifier Global Typical Low $363.08 Median $389.05 Typical High $467.74 | Professional | Global | $363.08 | $389.05 | $467.74 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $602.56 Typical High $602.56 | Professional | 50 · Both sides | $524.81 | $602.56 | $602.56 |
Highmark BCBS Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $281.84 Typical High $426.58 | Professional | 54 · Surgery only | $263.03 | $281.84 | $426.58 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $741.31 Median $3,019.95 Typical High $4,677.35 | Facility | Global | $741.31 | $3,019.95 | $4,677.35 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | Global | $323.59 | $346.74 | $346.74 |
Martin's Point Setting Facility Modifier Global Typical Low $363.08 Median $1,819.70 Typical High $7,762.47 | Facility | Global | $363.08 | $1,819.70 | $7,762.47 |
Martin's Point Setting Facility Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $269.15 | Facility | 54 · Surgery only | $251.19 | $251.19 | $269.15 |
Martin's Point Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $54.95 | Facility | 55 · Aftercare only | $50.12 | $50.12 | $54.95 |
Martin's Point Setting Professional Modifier Global Typical Low $275.42 Median $354.81 Typical High $707.95 | Professional | Global | $275.42 | $354.81 | $707.95 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $501.19 Typical High $2,187.76 | Professional | 50 · Both sides | $407.38 | $501.19 | $2,187.76 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $239.88 Typical High $346.74 | Professional | 54 · Surgery only | $208.93 | $239.88 | $346.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $75.86 | Professional | 55 · Aftercare only | $44.67 | $48.98 | $75.86 |
Oscar Health Setting Facility Modifier Global Typical Low $457.09 Median $575.44 Typical High $5,754.40 | Facility | Global | $457.09 | $575.44 | $5,754.40 |
Oscar Health Setting Professional Modifier Global Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | Global | $263.03 | $263.03 | $275.42 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $309.03 Median $1,698.24 Typical High $2,951.21 | Facility | Global | $309.03 | $1,698.24 | $2,951.21 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $295.12 Median $316.23 Typical High $338.84 | Professional | Global | $295.12 | $316.23 | $338.84 |
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 $245.47 Median $338.84 Typical High $602.56 | Professional | Global | $245.47 | $338.84 | $602.56 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 40th of 51
$363
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.