How much rates vary
Facilitymedian $832 · 10th to 90th $74 to $6,607Professionalmedian $21 · 10th to 90th $12 to $43
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 $74.13 Median $707.95 Typical High $7,244.36 | Facility | Global | $74.13 | $707.95 | $7,244.36 |
Aetna Setting Professional Modifier Global Typical Low $12.02 Median $20.89 Typical High $44.67 | Professional | Global | $12.02 | $20.89 | $44.67 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $16.98 Median $31.62 Typical High $77.62 | Professional | 50 · Both sides | $16.98 | $31.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $7.24 Typical High $12.30 | Professional | 52 · Reduced service | $6.31 | $7.24 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.02 Typical High $19.05 | Professional | 53 · Discontinued | $2.51 | $3.02 | $19.05 |
Ambetter Setting Professional Modifier Global Typical Low $13.18 Median $16.22 Typical High $22.91 | Professional | Global | $13.18 | $16.22 | $22.91 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $23.44 Median $30.20 Typical High $46.77 | Professional | 50 · Both sides | $23.44 | $30.20 | $46.77 |
AmeriHealth Setting Facility Modifier Global Typical Low $691.83 Median $3,890.45 Typical High $6,918.31 | Facility | Global | $691.83 | $3,890.45 | $6,918.31 |
AmeriHealth Setting Professional Modifier Global Typical Low $7.94 Median $15.85 Typical High $17.78 | Professional | Global | $7.94 | $15.85 | $17.78 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $1,174.90 Median $1,258.93 Typical High $57,543.99 | Facility | Global | $1,174.90 | $1,258.93 | $57,543.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $13.18 Median $20.89 Typical High $25.70 | Professional | Global | $13.18 | $20.89 | $25.70 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $19.95 Median $30.20 Typical High $38.90 | Professional | 50 · Both sides | $19.95 | $30.20 | $38.90 |
Cigna Setting Professional Modifier Global Typical Low $13.49 Median $17.78 Typical High $27.54 | Professional | Global | $13.49 | $17.78 | $27.54 |
Emblem Health Setting Professional Modifier Global Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | Global | $28.84 | $28.84 | $29.51 |
Geisinger Setting Professional Modifier Global Typical Low $12.88 Median $20.42 Typical High $27.54 | Professional | Global | $12.88 | $20.42 | $27.54 |
Highmark BCBS Setting Facility Modifier Global Typical Low $32.36 Median $186.21 Typical High $323.59 | Facility | Global | $32.36 | $186.21 | $323.59 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $79.43 Median $3,235.94 Typical High $6,025.60 | Facility | Global | $79.43 | $3,235.94 | $6,025.60 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $7.94 Median $15.85 Typical High $18.20 | Professional | Global | $7.94 | $15.85 | $18.20 |
Martin's Point Setting Facility Modifier Global Typical Low $74.13 Median $1,023.29 Typical High $6,165.95 | Facility | Global | $74.13 | $1,023.29 | $6,165.95 |
Martin's Point Setting Professional Modifier Global Typical Low $12.30 Median $20.89 Typical High $39.81 | Professional | Global | $12.30 | $20.89 | $39.81 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $17.38 Median $33.88 Typical High $63.10 | Professional | 50 · Both sides | $17.38 | $33.88 | $63.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $7.59 Typical High $12.30 | Professional | 52 · Reduced service | $6.61 | $7.59 | $12.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.02 Typical High $4.79 | Professional | 53 · Discontinued | $2.63 | $3.02 | $4.79 |
Oscar Health Setting Facility Modifier Global Typical Low $204.17 Median $208.93 Typical High $1,047.13 | Facility | Global | $204.17 | $208.93 | $1,047.13 |
Oscar Health Setting Professional Modifier Global Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | Global | $14.45 | $14.45 | $15.14 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $72.44 Median $117.49 Typical High $213.80 | Facility | Global | $72.44 | $117.49 | $213.80 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $13.18 Median $14.45 Typical High $15.85 | Professional | Global | $13.18 | $14.45 | $15.85 |
United Setting Facility Modifier Global Typical Low $117.49 Median $478.63 Typical High $3,890.45 | Facility | Global | $117.49 | $478.63 | $3,890.45 |
United Setting Professional Modifier Global Typical Low $11.48 Median $15.49 Typical High $28.18 | Professional | Global | $11.48 | $15.49 | $28.18 |
Where Pennsylvania sits
The same service costs 7.9 times more in Oklahoma than in Rhode Island. 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· 34th of 51
$22.91
OK $123RI $15.49
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.