How much rates vary
Facilitymedian $49 · 10th to 90th $32 to $468Professionalmedian $41 · 10th to 90th $30 to $100
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 $32.36 Median $48.98 Typical High $467.74 | Facility | Global | $32.36 | $48.98 | $467.74 |
Aetna Setting Professional Modifier Global Typical Low $30.20 Median $40.74 Typical High $102.33 | Professional | Global | $30.20 | $40.74 | $102.33 |
Aetna Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $218.78 Typical High $223.87 | Professional | 22 · Increased work | $213.80 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $17.38 Typical High $23.44 | Professional | 52 · Reduced service | $14.79 | $17.38 | $23.44 |
Ambetter Setting Professional Modifier Global Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | Global | $33.88 | $39.81 | $60.26 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
AmeriHealth Setting Professional Modifier Global Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | Global | $39.81 | $39.81 | $52.48 |
AmeriHealth Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $36.31 Median $40.74 Typical High $104.71 | Professional | Global | $36.31 | $40.74 | $104.71 |
Cigna Setting Facility Modifier Global Typical Low $33.88 Median $33.88 Typical High $125.89 | Facility | Global | $33.88 | $33.88 | $125.89 |
Cigna Setting Professional Modifier Global Typical Low $28.84 Median $43.65 Typical High $67.61 | Professional | Global | $28.84 | $43.65 | $67.61 |
Emblem Health Setting Professional Modifier Global Typical Low $41.69 Median $50.12 Typical High $75.86 | Professional | Global | $41.69 | $50.12 | $75.86 |
Geisinger Setting Professional Modifier Global Typical Low $34.67 Median $46.77 Typical High $75.86 | Professional | Global | $34.67 | $46.77 | $75.86 |
Highmark BCBS Setting Professional Modifier Global Typical Low $42.66 Median $45.71 Typical High $64.57 | Professional | Global | $42.66 | $45.71 | $64.57 |
Highmark BCBS Setting Professional Modifier 22 · Increased work Typical Low $48.98 Median $50.12 Typical High $64.57 | Professional | 22 · Increased work | $48.98 | $50.12 | $64.57 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $25.12 Typical High $32.36 | Professional | 52 · Reduced service | $22.91 | $25.12 | $32.36 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | Global | $138.04 | $138.04 | $138.04 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | Global | $39.81 | $39.81 | $52.48 |
Independence Blue Cross Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $39.81 | $52.48 |
Martin's Point Setting Facility Modifier Global Typical Low $32.36 Median $48.98 Typical High $467.74 | Facility | Global | $32.36 | $48.98 | $467.74 |
Martin's Point Setting Professional Modifier Global Typical Low $30.20 Median $39.81 Typical High $93.33 | Professional | Global | $30.20 | $39.81 | $93.33 |
Martin's Point Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $218.78 Typical High $223.87 | Professional | 22 · Increased work | $213.80 | $218.78 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.78 Typical High $25.70 | Professional | 52 · Reduced service | $14.45 | $17.78 | $25.70 |
Oscar Health Setting Professional Modifier Global Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | Global | $58.88 | $58.88 | $63.10 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $79.43 Median $83.18 Typical High $109.65 | Facility | Global | $79.43 | $83.18 | $109.65 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $30.90 Median $36.31 Typical High $57.54 | Professional | Global | $30.90 | $36.31 | $57.54 |
United Setting Professional Modifier Global Typical Low $24.55 Median $35.48 Typical High $63.10 | Professional | Global | $24.55 | $35.48 | $63.10 |
Where Pennsylvania sits
The same service costs 1.9 times more in South Dakota than in Delaware. 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· 12th of 51
$40.74
SD $61.66DE $33.11
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.