How much rates vary
Facilitymedian $3 · 10th to 90th $0 to $95Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.39 Median $3.02 Typical High $95.50 | Facility | Global | $0.39 | $3.02 | $95.50 |
Aetna Setting Professional Modifier Global Typical Low $0.14 Median $0.20 Typical High $1.00 | Professional | Global | $0.14 | $0.20 | $1.00 |
Ambetter Setting Professional Modifier Global Typical Low $0.15 Median $15.14 Typical High $32.36 | Professional | Global | $0.15 | $15.14 | $32.36 |
AmeriHealth Setting Professional Modifier Global Typical Low $0.16 Median $0.16 Typical High $0.17 | Professional | Global | $0.16 | $0.16 | $0.17 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $0.93 Median $1.10 Typical High $8,511.38 | Facility | Global | $0.93 | $1.10 | $8,511.38 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | Global | $1.10 | $1.10 | $1.10 |
Cigna Setting Facility Modifier Global Typical Low $0.15 Median $0.52 Typical High $0.56 | Facility | Global | $0.15 | $0.52 | $0.56 |
Cigna Setting Professional Modifier Global Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | Global | $0.15 | $0.15 | $0.15 |
Emblem Health Setting Professional Modifier Global Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | Global | $0.16 | $0.17 | $0.17 |
Geisinger Setting Facility Modifier Global Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | Global | $0.15 | $0.15 | $0.15 |
Geisinger Setting Professional Modifier Global Typical Low $0.17 Median $0.30 Typical High $0.43 | Professional | Global | $0.17 | $0.30 | $0.43 |
Highmark BCBS Setting Facility Modifier Global Typical Low $0.36 Median $1.32 Typical High $7.08 | Facility | Global | $0.36 | $1.32 | $7.08 |
Highmark BCBS Setting Professional Modifier Global Typical Low $0.16 Median $0.19 Typical High $0.23 | Professional | Global | $0.16 | $0.19 | $0.23 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $0.16 Median $0.16 Typical High $0.17 | Professional | Global | $0.16 | $0.16 | $0.17 |
Martin's Point Setting Facility Modifier Global Typical Low $0.39 Median $2.88 Typical High $97.72 | Facility | Global | $0.39 | $2.88 | $97.72 |
Martin's Point Setting Professional Modifier Global Typical Low $0.14 Median $0.17 Typical High $0.56 | Professional | Global | $0.14 | $0.17 | $0.56 |
Oscar Health Setting Facility Modifier Global Typical Low $933.25 Median $954.99 Typical High $1,174.90 | Facility | Global | $933.25 | $954.99 | $1,174.90 |
Oscar Health Setting Professional Modifier Global Typical Low $0.16 Median $0.27 Typical High $0.79 | Professional | Global | $0.16 | $0.27 | $0.79 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $0.17 Median $0.21 Typical High $0.52 | Facility | Global | $0.17 | $0.21 | $0.52 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $0.17 Median $0.17 Typical High $0.20 | Professional | Global | $0.17 | $0.17 | $0.20 |
United Setting Professional Modifier Global Typical Low $0.15 Median $0.15 Typical High $1.26 | Professional | Global | $0.15 | $0.15 | $1.26 |
Where Pennsylvania sits
The same service costs 24.5 times more in West Virginia than in Vermont. 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· 7th of 51
$0.56
WV $3.72VT $0.15
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.