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 $50.12 Median $537.03 Typical High $5,754.40 | Facility | Global | $50.12 | $537.03 | $5,754.40 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $56.23 Median $181.97 Typical High $4,677.35 | Facility | 50 · Both sides | $56.23 | $181.97 | $4,677.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $25.12 | Facility | 52 · Reduced service | $17.38 | $17.38 | $25.12 |
Aetna Setting Professional Modifier Global Typical Low $30.90 Median $57.54 Typical High $112.20 | Professional | Global | $30.90 | $57.54 | $112.20 |
Aetna Setting Professional Modifier 22 · Increased work Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 22 · Increased work | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $85.11 Typical High $194.98 | Professional | 50 · Both sides | $40.74 | $85.11 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $20.89 Typical High $31.62 | Professional | 52 · Reduced service | $14.79 | $20.89 | $31.62 |
Ambetter Setting Professional Modifier Global Typical Low $38.90 Median $46.77 Typical High $81.28 | Professional | Global | $38.90 | $46.77 | $81.28 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $70.79 Median $112.20 Typical High $123.03 | Professional | 50 · Both sides | $70.79 | $112.20 | $123.03 |
AmeriHealth Setting Facility Modifier Global Typical Low $691.83 Median $11,481.54 Typical High $17,782.79 | Facility | Global | $691.83 | $11,481.54 | $17,782.79 |
AmeriHealth Setting Professional Modifier Global Typical Low $24.55 Median $48.98 Typical High $56.23 | Professional | Global | $24.55 | $48.98 | $56.23 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $47.86 Median $91.20 Typical High $112.20 | Professional | Global | $47.86 | $91.20 | $112.20 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $74.13 Typical High $138.04 | Professional | 50 · Both sides | $46.77 | $74.13 | $138.04 |
Cigna Setting Professional Modifier Global Typical Low $33.88 Median $53.70 Typical High $93.33 | Professional | Global | $33.88 | $53.70 | $93.33 |
Emblem Health Setting Professional Modifier Global Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | Global | $77.62 | $77.62 | $81.28 |
Geisinger Setting Professional Modifier Global Typical Low $36.31 Median $58.88 Typical High $81.28 | Professional | Global | $36.31 | $58.88 | $81.28 |
Highmark BCBS Setting Facility Modifier Global Typical Low $63.10 Median $158.49 Typical High $346.74 | Facility | Global | $63.10 | $158.49 | $346.74 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $41.69 Median $144.54 Typical High $275.42 | Facility | 50 · Both sides | $41.69 | $144.54 | $275.42 |
Highmark BCBS Setting Professional Modifier Global Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | Global | $48.98 | $48.98 | $60.26 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 50 · Both sides | $48.98 | $48.98 | $60.26 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $79.43 Median $9,549.93 Typical High $17,782.79 | Facility | Global | $79.43 | $9,549.93 | $17,782.79 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $28.18 Median $48.98 Typical High $56.23 | Professional | Global | $28.18 | $48.98 | $56.23 |
Martin's Point Setting Facility Modifier Global Typical Low $50.12 Median $794.33 Typical High $5,754.40 | Facility | Global | $50.12 | $794.33 | $5,754.40 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $67.61 Median $257.04 Typical High $4,677.35 | Facility | 50 · Both sides | $67.61 | $257.04 | $4,677.35 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $25.12 | Facility | 52 · Reduced service | $17.38 | $17.38 | $25.12 |
Martin's Point Setting Professional Modifier Global Typical Low $29.51 Median $53.70 Typical High $112.20 | Professional | Global | $29.51 | $53.70 | $112.20 |
Martin's Point Setting Professional Modifier 22 · Increased work Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 22 · Increased work | $51.29 | $51.29 | $51.29 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $83.18 Typical High $165.96 | Professional | 50 · Both sides | $36.31 | $83.18 | $165.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $20.89 Typical High $34.67 | Professional | 52 · Reduced service | $14.79 | $20.89 | $34.67 |
Oscar Health Setting Facility Modifier Global Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | Global | $95.50 | $95.50 | $95.50 |
Oscar Health Setting Professional Modifier Global Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | Global | $74.13 | $74.13 | $79.43 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $21.88 Median $36.31 Typical High $60.26 | Facility | Global | $21.88 | $36.31 | $60.26 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $31.62 Median $44.67 Typical High $51.29 | Professional | Global | $31.62 | $44.67 | $51.29 |
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 $29.51 Median $46.77 Typical High $79.43 | Professional | Global | $29.51 | $46.77 | $79.43 |
Where Pennsylvania sits
The same service costs 2.4 times more in Alaska than in Alabama. 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· 27th of 51
$60.26
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.