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 $35.48 Median $95.50 Typical High $186.21 | Facility | Global | $35.48 | $95.50 | $186.21 |
Aetna Setting Professional Modifier Global Typical Low $19.95 Median $22.91 Typical High $33.11 | Professional | Global | $19.95 | $22.91 | $33.11 |
Ambetter Setting Professional Modifier Global Typical Low $15.14 Median $15.49 Typical High $25.70 | Professional | Global | $15.14 | $15.49 | $25.70 |
AmeriHealth Setting Facility Modifier Global Typical Low $29.51 Median $104.71 Typical High $2,884.03 | Facility | Global | $29.51 | $104.71 | $2,884.03 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $134.90 Median $181.97 Typical High $8,511.38 | Facility | Global | $134.90 | $181.97 | $8,511.38 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | Global | $19.95 | $19.95 | $23.99 |
Cigna Setting Facility Modifier Global Typical Low $18.20 Median $38.90 Typical High $87.10 | Facility | Global | $18.20 | $38.90 | $87.10 |
Cigna Setting Professional Modifier Global Typical Low $14.79 Median $32.36 Typical High $61.66 | Professional | Global | $14.79 | $32.36 | $61.66 |
Emblem Health Setting Professional Modifier Global Typical Low $7.94 Median $15.14 Typical High $37.15 | Professional | Global | $7.94 | $15.14 | $37.15 |
Geisinger Setting Facility Modifier Global Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | Global | $25.70 | $25.70 | $25.70 |
Geisinger Setting Professional Modifier Global Typical Low $25.70 Median $28.18 Typical High $43.65 | Professional | Global | $25.70 | $28.18 | $43.65 |
Highmark BCBS Setting Facility Modifier Global Typical Low $34.67 Median $64.57 Typical High $141.25 | Facility | Global | $34.67 | $64.57 | $141.25 |
Highmark BCBS Setting Professional Modifier Global Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | Global | $16.98 | $16.98 | $19.50 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $29.51 Median $100.00 Typical High $691.83 | Facility | Global | $29.51 | $100.00 | $691.83 |
Martin's Point Setting Facility Modifier Global Typical Low $28.18 Median $93.33 Typical High $186.21 | Facility | Global | $28.18 | $93.33 | $186.21 |
Martin's Point Setting Professional Modifier Global Typical Low $19.95 Median $23.44 Typical High $63.10 | Professional | Global | $19.95 | $23.44 | $63.10 |
Oscar Health Setting Facility Modifier Global Typical Low $660.69 Median $676.08 Typical High $1,047.13 | Facility | Global | $660.69 | $676.08 | $1,047.13 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $56.23 Median $147.91 Typical High $263.03 | Facility | Global | $56.23 | $147.91 | $263.03 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $22.39 Median $25.70 Typical High $36.31 | Professional | Global | $22.39 | $25.70 | $36.31 |
United Setting Facility Modifier Global Typical Low $14.13 Median $25.70 Typical High $30.20 | Facility | Global | $14.13 | $25.70 | $30.20 |
United Setting Professional Modifier Global Typical Low $11.48 Median $19.50 Typical High $44.67 | Professional | Global | $11.48 | $19.50 | $44.67 |
Where Pennsylvania sits
The same service costs 4.1 times more in West Virginia than in Tennessee. 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· 4th of 51
$67.61
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.