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 $17.78 Median $39.81 Typical High $81.28 | Facility | Global | $17.78 | $39.81 | $81.28 |
Aetna Setting Professional Modifier Global Typical Low $8.71 Median $11.48 Typical High $15.49 | Professional | Global | $8.71 | $11.48 | $15.49 |
Ambetter Setting Professional Modifier Global Typical Low $6.46 Median $7.94 Typical High $21.38 | Professional | Global | $6.46 | $7.94 | $21.38 |
AmeriHealth Setting Facility Modifier Global Typical Low $14.13 Median $38.02 Typical High $776.25 | Facility | Global | $14.13 | $38.02 | $776.25 |
AmeriHealth Setting Professional Modifier Global Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | Global | $8.32 | $8.32 | $16.22 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $51.29 Median $70.79 Typical High $8,511.38 | Facility | Global | $51.29 | $70.79 | $8,511.38 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | Global | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier Global Typical Low $9.33 Median $19.50 Typical High $43.65 | Facility | Global | $9.33 | $19.50 | $43.65 |
Cigna Setting Professional Modifier Global Typical Low $7.59 Median $16.22 Typical High $31.62 | Professional | Global | $7.59 | $16.22 | $31.62 |
Emblem Health Setting Professional Modifier Global Typical Low $6.03 Median $12.88 Typical High $18.62 | Professional | Global | $6.03 | $12.88 | $18.62 |
Geisinger Setting Facility Modifier Global Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | Global | $12.88 | $12.88 | $12.88 |
Geisinger Setting Professional Modifier Global Typical Low $10.23 Median $12.88 Typical High $22.39 | Professional | Global | $10.23 | $12.88 | $22.39 |
Highmark BCBS Setting Facility Modifier Global Typical Low $17.78 Median $31.62 Typical High $63.10 | Facility | Global | $17.78 | $31.62 | $63.10 |
Highmark BCBS Setting Professional Modifier Global Typical Low $7.76 Median $8.51 Typical High $10.72 | Professional | Global | $7.76 | $8.51 | $10.72 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $14.13 Median $36.31 Typical High $79.43 | Facility | Global | $14.13 | $36.31 | $79.43 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | Global | $8.32 | $8.32 | $8.32 |
Martin's Point Setting Facility Modifier Global Typical Low $12.88 Median $38.90 Typical High $83.18 | Facility | Global | $12.88 | $38.90 | $83.18 |
Martin's Point Setting Professional Modifier Global Typical Low $9.33 Median $11.75 Typical High $32.36 | Professional | Global | $9.33 | $11.75 | $32.36 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $21.88 Median $37.15 Typical High $77.62 | Facility | Global | $21.88 | $37.15 | $77.62 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $11.22 Median $12.88 Typical High $13.80 | Professional | Global | $11.22 | $12.88 | $13.80 |
United Setting Facility Modifier Global Typical Low $7.08 Median $12.88 Typical High $15.49 | Facility | Global | $7.08 | $12.88 | $15.49 |
United Setting Professional Modifier Global Typical Low $5.37 Median $8.13 Typical High $19.50 | Professional | Global | $5.37 | $8.13 | $19.50 |
Where Pennsylvania sits
The same service costs 4.3 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
$32.36
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.