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 $60.26 Median $177.83 Typical High $354.81 | Facility | Global | $60.26 | $177.83 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $19.05 Typical High $39.81 | Facility | 26 · Professional part | $9.55 | $19.05 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $123.03 Typical High $302.00 | Facility | TC · Technical part | $29.51 | $123.03 | $302.00 |
Aetna Setting Professional Modifier Global Typical Low $33.88 Median $52.48 Typical High $165.96 | Professional | Global | $33.88 | $52.48 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.98 Typical High $34.67 | Professional | 26 · Professional part | $9.55 | $16.98 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $23.44 | $38.02 | $77.62 |
Ambetter Setting Professional Modifier Global Typical Low $26.30 Median $33.88 Typical High $53.70 | Professional | Global | $26.30 | $33.88 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $12.59 | $17.78 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $26.30 | $44.67 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | Global | $1,047.13 | $1,047.13 | $1,047.13 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $67.61 Typical High $489.78 | Facility | TC · Technical part | $37.15 | $67.61 | $489.78 |
AmeriHealth Setting Professional Modifier Global Typical Low $38.02 Median $48.98 Typical High $66.07 | Professional | Global | $38.02 | $48.98 | $66.07 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $16.60 | Professional | 26 · Professional part | $13.49 | $13.49 | $16.60 |
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 Facility Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $218.78 | Facility | TC · Technical part | $109.65 | $154.88 | $218.78 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $38.02 Median $43.65 Typical High $75.86 | Professional | Global | $38.02 | $43.65 | $75.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $10.72 | $14.13 | $24.55 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $30.20 | $51.29 |
Cigna Setting Facility Modifier Global Typical Low $36.31 Median $79.43 Typical High $208.93 | Facility | Global | $36.31 | $79.43 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $28.84 Median $43.65 Typical High $74.13 | Professional | Global | $28.84 | $43.65 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $8.32 | $13.18 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $19.95 | $30.90 | $52.48 |
Emblem Health Setting Professional Modifier Global Typical Low $40.74 Median $54.95 Typical High $70.79 | Professional | Global | $40.74 | $54.95 | $70.79 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $10.47 | $14.13 | $19.05 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $40.74 | $52.48 |
Geisinger Setting Facility Modifier Global Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | Global | $36.31 | $36.31 | $36.31 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Geisinger Setting Professional Modifier Global Typical Low $26.30 Median $42.66 Typical High $79.43 | Professional | Global | $26.30 | $42.66 | $79.43 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $8.91 | $12.59 | $22.39 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $17.78 | $30.20 | $56.23 |
Highmark BCBS Setting Facility Modifier Global Typical Low $104.71 Median $186.21 Typical High $309.03 | Facility | Global | $104.71 | $186.21 | $309.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $426.58 | Facility | TC · Technical part | $131.83 | $239.88 | $426.58 |
Highmark BCBS Setting Professional Modifier Global Typical Low $41.69 Median $47.86 Typical High $53.70 | Professional | Global | $41.69 | $47.86 | $53.70 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $12.30 | $17.78 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $35.48 | $41.69 | $51.29 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $691.83 Median $2,089.30 Typical High $2,630.27 | Facility | Global | $691.83 | $2,089.30 | $2,630.27 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $630.96 | Facility | TC · Technical part | $489.78 | $489.78 | $630.96 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $41.69 Median $48.98 Typical High $72.44 | Professional | Global | $41.69 | $48.98 | $72.44 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $13.49 | $13.49 | $16.98 |
Martin's Point Setting Facility Modifier Global Typical Low $51.29 Median $181.97 Typical High $380.19 | Facility | Global | $51.29 | $181.97 | $380.19 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $15.14 Typical High $35.48 | Facility | 26 · Professional part | $9.55 | $15.14 | $35.48 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $117.49 Typical High $457.09 | Facility | TC · Technical part | $29.51 | $117.49 | $457.09 |
Martin's Point Setting Professional Modifier Global Typical Low $33.11 Median $46.77 Typical High $100.00 | Professional | Global | $33.11 | $46.77 | $100.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.45 Typical High $33.11 | Professional | 26 · Professional part | $9.55 | $14.45 | $33.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $64.57 | Professional | TC · Technical part | $23.44 | $32.36 | $64.57 |
Oscar Health Setting Facility Modifier Global Typical Low $134.90 Median $141.25 Typical High $194.98 | Facility | Global | $134.90 | $141.25 | $194.98 |
Oscar Health Setting Professional Modifier Global Typical Low $10.72 Median $32.36 Typical High $67.61 | Professional | Global | $10.72 | $32.36 | $67.61 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $58.88 Median $93.33 Typical High $144.54 | Facility | Global | $58.88 | $93.33 | $144.54 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $12.02 | Facility | 26 · Professional part | $10.72 | $10.72 | $12.02 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $27.54 | Facility | TC · Technical part | $24.55 | $27.54 | $27.54 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $36.31 Median $38.02 Typical High $41.69 | Professional | Global | $36.31 | $38.02 | $41.69 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $10.96 | Professional | 26 · Professional part | $10.23 | $10.72 | $10.96 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $30.20 | Professional | TC · Technical part | $24.55 | $27.54 | $30.20 |
United Setting Facility Modifier Global Typical Low $120.23 Median $208.93 Typical High $288.40 | Facility | Global | $120.23 | $208.93 | $288.40 |
United Setting Professional Modifier Global Typical Low $30.90 Median $42.66 Typical High $81.28 | Professional | Global | $30.90 | $42.66 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $30.90 | Professional | 26 · Professional part | $9.33 | $12.88 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $29.51 | $60.26 |
Where Pennsylvania sits
The same service costs 2.8 times more in South Dakota than in Texas. 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· 9th of 51
$69.18
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.