How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $6Professionalmedian $1 · 10th to 90th $0 to $4
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 $0.55 Median $0.55 Typical High $0.66 | Facility | Global | $0.55 | $0.55 | $0.66 |
Aetna Setting Professional Modifier Global Typical Low $0.40 Median $0.66 Typical High $3.89 | Professional | Global | $0.40 | $0.66 | $3.89 |
Ambetter Setting Professional Modifier Global Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | Global | $1.86 | $1.86 | $1.86 |
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 $0.87 Median $0.87 Typical High $0.87 | Professional | Global | $0.87 | $0.87 | $0.87 |
Cigna Setting Professional Modifier Global Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | Global | $5.89 | $5.89 | $5.89 |
Martin's Point Setting Facility Modifier Global Typical Low $0.55 Median $0.55 Typical High $0.66 | Facility | Global | $0.55 | $0.55 | $0.66 |
Martin's Point Setting Professional Modifier Global Typical Low $0.52 Median $0.62 Typical High $0.83 | Professional | Global | $0.52 | $0.62 | $0.83 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $0.91 Median $4.07 Typical High $7.08 | Facility | Global | $0.91 | $4.07 | $7.08 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $0.87 Median $0.91 Typical High $0.91 | Professional | Global | $0.87 | $0.91 | $0.91 |
United Setting Professional Modifier Global Typical Low $0.47 Median $0.91 Typical High $1.55 | Professional | Global | $0.47 | $0.91 | $1.55 |
Where Pennsylvania sits
The same service costs 3.6 times more in Wyoming than in Maine. 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· 45th of 51
$0.66
WY $1.78ME $0.49
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.