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 $0.26 Median $0.26 Typical High $0.32 | Facility | Global | $0.26 | $0.26 | $0.32 |
Aetna Setting Professional Modifier Global Typical Low $0.24 Median $0.32 Typical High $1.66 | Professional | Global | $0.24 | $0.32 | $1.66 |
Ambetter Setting Professional Modifier Global Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | Global | $95.50 | $95.50 | $95.50 |
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 $0.38 Median $0.38 Typical High $0.38 | Professional | Global | $0.38 | $0.38 | $0.38 |
Cigna Setting Professional Modifier Global Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | Global | $0.24 | $0.24 | $0.24 |
Martin's Point Setting Facility Modifier Global Typical Low $0.26 Median $0.26 Typical High $0.32 | Facility | Global | $0.26 | $0.26 | $0.32 |
Martin's Point Setting Professional Modifier Global Typical Low $0.24 Median $0.28 Typical High $0.40 | Professional | Global | $0.24 | $0.28 | $0.40 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $0.62 Median $2.57 Typical High $4.57 | Facility | Global | $0.62 | $2.57 | $4.57 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $0.44 Median $0.44 Typical High $0.51 | Professional | Global | $0.44 | $0.44 | $0.51 |
United Setting Professional Modifier Global Typical Low $0.22 Median $0.48 Typical High $0.78 | Professional | Global | $0.22 | $0.48 | $0.78 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 44th of 51
$0.32
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.