How much rates vary
Facilitymedian $55 · 10th to 90th $16 to $115Professionalmedian $13 · 10th to 90th $11 to $26
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 $16.60 Median $56.23 Typical High $114.82 | Facility | Global | $16.60 | $56.23 | $114.82 |
Aetna Setting Professional Modifier Global Typical Low $11.48 Median $12.88 Typical High $33.88 | Professional | Global | $11.48 | $12.88 | $33.88 |
Ambetter Setting Professional Modifier Global Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | Global | $8.71 | $8.71 | $14.45 |
AmeriHealth Setting Facility Modifier Global Typical Low $17.38 Median $50.12 Typical High $151.36 | Facility | Global | $17.38 | $50.12 | $151.36 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $58.88 Median $79.43 Typical High $8,511.38 | Facility | Global | $58.88 | $79.43 | $8,511.38 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | Global | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier Global Typical Low $10.47 Median $21.88 Typical High $48.98 | Facility | Global | $10.47 | $21.88 | $48.98 |
Cigna Setting Professional Modifier Global Typical Low $8.51 Median $17.38 Typical High $30.90 | Professional | Global | $8.51 | $17.38 | $30.90 |
Emblem Health Setting Professional Modifier Global Typical Low $6.76 Median $8.51 Typical High $20.89 | Professional | Global | $6.76 | $8.51 | $20.89 |
Geisinger Setting Facility Modifier Global Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | Global | $14.45 | $14.45 | $14.45 |
Geisinger Setting Professional Modifier Global Typical Low $11.48 Median $14.45 Typical High $25.12 | Professional | Global | $11.48 | $14.45 | $25.12 |
Highmark BCBS Setting Facility Modifier Global Typical Low $19.95 Median $39.81 Typical High $79.43 | Facility | Global | $19.95 | $39.81 | $79.43 |
Highmark BCBS Setting Professional Modifier Global Typical Low $8.71 Median $9.55 Typical High $11.75 | Professional | Global | $8.71 | $9.55 | $11.75 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $18.62 Median $46.77 Typical High $239.88 | Facility | Global | $18.62 | $46.77 | $239.88 |
Martin's Point Setting Facility Modifier Global Typical Low $14.45 Median $54.95 Typical High $141.25 | Facility | Global | $14.45 | $54.95 | $141.25 |
Martin's Point Setting Professional Modifier Global Typical Low $11.48 Median $13.18 Typical High $42.66 | Professional | Global | $11.48 | $13.18 | $42.66 |
Oscar Health Setting Facility Modifier Global Typical Low $323.59 Median $331.13 Typical High $457.09 | Facility | Global | $323.59 | $331.13 | $457.09 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $24.55 Median $40.74 Typical High $85.11 | Facility | Global | $24.55 | $40.74 | $85.11 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | Global | $15.85 | $15.85 | $15.85 |
United Setting Facility Modifier Global Typical Low $7.94 Median $14.45 Typical High $17.38 | Facility | Global | $7.94 | $14.45 | $17.38 |
United Setting Professional Modifier Global Typical Low $6.46 Median $10.72 Typical High $26.92 | Professional | Global | $6.46 | $10.72 | $26.92 |
Where Pennsylvania sits
The same service costs 8.3 times more in South Dakota than in Washington, DC. 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· 6th of 51
$37.15
SD $89.13DC $10.72
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.