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 $104.71 Median $107.15 Typical High $151.36 | Facility | Global | $104.71 | $107.15 | $151.36 |
Aetna Setting Professional Modifier Global Typical Low $100.00 Median $141.25 Typical High $316.23 | Professional | Global | $100.00 | $141.25 | $316.23 |
Ambetter Setting Professional Modifier Global Typical Low $104.71 Median $125.89 Typical High $194.98 | Professional | Global | $104.71 | $125.89 | $194.98 |
AmeriHealth Setting Facility Modifier Global Typical Low $134.90 Median $10,715.19 Typical High $28,840.32 | Facility | Global | $134.90 | $10,715.19 | $28,840.32 |
AmeriHealth Setting Professional Modifier Global Typical Low $117.49 Median $141.25 Typical High $154.88 | Professional | Global | $117.49 | $141.25 | $154.88 |
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 $138.04 Median $194.98 Typical High $251.19 | Professional | Global | $138.04 | $194.98 | $251.19 |
Cigna Setting Professional Modifier Global Typical Low $114.82 Median $158.49 Typical High $234.42 | Professional | Global | $114.82 | $158.49 | $234.42 |
Emblem Health Setting Professional Modifier Global Typical Low $83.18 Median $173.78 Typical High $245.47 | Professional | Global | $83.18 | $173.78 | $245.47 |
Geisinger Setting Facility Modifier Global Typical Low $114.82 Median $114.82 Typical High $138.04 | Facility | Global | $114.82 | $114.82 | $138.04 |
Geisinger Setting Professional Modifier Global Typical Low $120.23 Median $162.18 Typical High $251.19 | Professional | Global | $120.23 | $162.18 | $251.19 |
Highmark BCBS Setting Professional Modifier Global Typical Low $123.03 Median $134.90 Typical High $199.53 | Professional | Global | $123.03 | $134.90 | $199.53 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $134.90 Median $11,220.18 Typical High $28,840.32 | Facility | Global | $134.90 | $11,220.18 | $28,840.32 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $117.49 Median $141.25 Typical High $158.49 | Professional | Global | $117.49 | $141.25 | $158.49 |
Martin's Point Setting Facility Modifier Global Typical Low $104.71 Median $107.15 Typical High $151.36 | Facility | Global | $104.71 | $107.15 | $151.36 |
Martin's Point Setting Professional Modifier Global Typical Low $104.71 Median $141.25 Typical High $309.03 | Professional | Global | $104.71 | $141.25 | $309.03 |
Optum Setting Professional Modifier Global Typical Low $89.13 Median $138.04 Typical High $169.82 | Professional | Global | $89.13 | $138.04 | $169.82 |
Oscar Health Setting Professional Modifier Global Typical Low $89.13 Median $131.83 Typical High $169.82 | Professional | Global | $89.13 | $131.83 | $169.82 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $128.82 Median $186.21 Typical High $263.03 | Facility | Global | $128.82 | $186.21 | $263.03 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $114.82 Median $128.82 Typical High $131.83 | Professional | Global | $114.82 | $128.82 | $131.83 |
United Setting Facility Modifier Global Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | Global | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier Global Typical Low $97.72 Median $147.91 Typical High $288.40 | Professional | Global | $97.72 | $147.91 | $288.40 |
Where Pennsylvania sits
The same service costs 2.1 times more in Wyoming 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· 24th of 51
$141
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.