How much rates vary
Facilitymedian $204 · 10th to 90th $47 to $347Professionalmedian $27 · 10th to 90th $18 to $110
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 $46.77 Median $204.17 Typical High $346.74 | Facility | Global | $46.77 | $204.17 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $15.49 Typical High $30.20 | Facility | 26 · Professional part | $7.76 | $15.49 | $30.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $162.18 Typical High $331.13 | Facility | TC · Technical part | $19.05 | $162.18 | $331.13 |
Aetna Setting Professional Modifier Global Typical Low $17.78 Median $26.92 Typical High $109.65 | Professional | Global | $17.78 | $26.92 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $29.51 | Professional | 26 · Professional part | $7.76 | $9.12 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $16.60 Typical High $64.57 | Professional | TC · Technical part | $10.72 | $16.60 | $64.57 |
Ambetter Setting Professional Modifier Global Typical Low $16.98 Median $22.91 Typical High $30.90 | Professional | Global | $16.98 | $22.91 | $30.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $10.23 | $14.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | TC · Technical part | $13.18 | $13.18 | $13.18 |
AmeriHealth Setting Facility Modifier Global Typical Low $67.61 Median $107.15 Typical High $1,949.84 | Facility | Global | $67.61 | $107.15 | $1,949.84 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $776.25 | Facility | TC · Technical part | $56.23 | $87.10 | $776.25 |
AmeriHealth Setting Professional Modifier Global Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | Global | $32.36 | $32.36 | $38.90 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $10.96 | $10.96 | $13.80 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $60.26 Median $70.79 Typical High $57,543.99 | Facility | Global | $60.26 | $70.79 | $57,543.99 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $95.50 | Facility | TC · Technical part | $46.77 | $66.07 | $95.50 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $25.12 Median $30.20 Typical High $43.65 | Professional | Global | $25.12 | $30.20 | $43.65 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $8.71 | $10.96 | $17.38 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $25.12 | Professional | TC · Technical part | $16.60 | $17.78 | $25.12 |
Cigna Setting Facility Modifier Global Typical Low $23.99 Median $47.86 Typical High $223.87 | Facility | Global | $23.99 | $47.86 | $223.87 |
Cigna Setting Professional Modifier Global Typical Low $17.78 Median $25.70 Typical High $47.86 | Professional | Global | $17.78 | $25.70 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $6.46 | $10.96 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $14.79 Typical High $30.90 | Professional | TC · Technical part | $10.00 | $14.79 | $30.90 |
Emblem Health Setting Professional Modifier Global Typical Low $26.30 Median $35.48 Typical High $53.70 | Professional | Global | $26.30 | $35.48 | $53.70 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $11.22 | $17.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $17.78 | $23.44 | $35.48 |
Geisinger Setting Professional Modifier Global Typical Low $15.49 Median $26.30 Typical High $47.86 | Professional | Global | $15.49 | $26.30 | $47.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $7.41 | $9.77 | $17.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $17.38 Typical High $31.62 | Professional | TC · Technical part | $8.13 | $17.38 | $31.62 |
Highmark BCBS Setting Facility Modifier Global Typical Low $58.88 Median $181.97 Typical High $302.00 | Facility | Global | $58.88 | $181.97 | $302.00 |
Highmark BCBS Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $263.03 Typical High $389.05 | Facility | TC · Technical part | $123.03 | $263.03 | $389.05 |
Highmark BCBS Setting Professional Modifier Global Typical Low $26.92 Median $28.84 Typical High $33.11 | Professional | Global | $26.92 | $28.84 | $33.11 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $10.23 | $14.79 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $89.13 Median $107.15 Typical High $1,949.84 | Facility | Global | $89.13 | $107.15 | $1,949.84 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $812.83 | Facility | TC · Technical part | $74.13 | $104.71 | $812.83 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $28.84 Median $41.69 Typical High $371.54 | Professional | Global | $28.84 | $41.69 | $371.54 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $10.23 | $10.96 | $16.98 |
Martin's Point Setting Facility Modifier Global Typical Low $43.65 Median $204.17 Typical High $346.74 | Facility | Global | $43.65 | $204.17 | $346.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $12.88 Typical High $30.20 | Facility | 26 · Professional part | $7.76 | $12.88 | $30.20 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $151.36 Typical High $363.08 | Facility | TC · Technical part | $19.05 | $151.36 | $363.08 |
Martin's Point Setting Professional Modifier Global Typical Low $19.05 Median $26.92 Typical High $77.62 | Professional | Global | $19.05 | $26.92 | $77.62 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $25.70 | Professional | 26 · Professional part | $7.76 | $9.33 | $25.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $17.38 Typical High $35.48 | Professional | TC · Technical part | $11.22 | $17.38 | $35.48 |
Oscar Health Setting Facility Modifier Global Typical Low $1,000.00 Median $1,698.24 Typical High $2,137.96 | Facility | Global | $1,000.00 | $1,698.24 | $2,137.96 |
Oscar Health Setting Professional Modifier Global Typical Low $8.71 Median $19.05 Typical High $43.65 | Professional | Global | $8.71 | $19.05 | $43.65 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $46.77 Median $93.33 Typical High $151.36 | Facility | Global | $46.77 | $93.33 | $151.36 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $10.00 | Facility | 26 · Professional part | $8.71 | $10.00 | $10.00 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $11.22 Median $11.22 Typical High $16.60 | Facility | TC · Technical part | $11.22 | $11.22 | $16.60 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $21.38 Median $24.55 Typical High $26.92 | Professional | Global | $21.38 | $24.55 | $26.92 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $10.00 | Professional | 26 · Professional part | $8.32 | $8.91 | $10.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $16.22 Typical High $18.20 | Professional | TC · Technical part | $11.22 | $16.22 | $18.20 |
United Setting Facility Modifier Global Typical Low $114.82 Median $208.93 Typical High $288.40 | Facility | Global | $114.82 | $208.93 | $288.40 |
United Setting Professional Modifier Global Typical Low $18.20 Median $26.92 Typical High $53.70 | Professional | Global | $18.20 | $26.92 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $51.29 | Professional | 26 · Professional part | $7.76 | $10.72 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $16.98 Typical High $38.02 | Professional | TC · Technical part | $10.72 | $16.98 | $38.02 |
Where Pennsylvania sits
The same service costs 12.6 times more in South Dakota than in Rhode Island. 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
$67.61
SD $269RI $21.38
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.