How much rates vary
Facilitymedian $240 · 10th to 90th $68 to $380Professionalmedian $54 · 10th to 90th $33 to $158
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 $67.61 Median $245.47 Typical High $380.19 | Facility | Global | $67.61 | $245.47 | $380.19 |
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 $199.53 Typical High $489.78 | Facility | TC · Technical part | $29.51 | $199.53 | $489.78 |
Aetna Setting Professional Modifier Global Typical Low $33.88 Median $53.70 Typical High $158.49 | Professional | Global | $33.88 | $53.70 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $15.85 Typical High $40.74 | Professional | 26 · Professional part | $9.55 | $15.85 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $23.99 | $38.02 | $85.11 |
Ambetter Setting Professional Modifier Global Typical Low $25.70 Median $34.67 Typical High $60.26 | Professional | Global | $25.70 | $34.67 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.14 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $15.14 | $20.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $31.62 | Professional | TC · Technical part | $14.45 | $26.30 | $31.62 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | Global | $2,951.21 | $2,951.21 | $2,951.21 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $512.86 | Facility | TC · Technical part | $40.74 | $44.67 | $512.86 |
AmeriHealth Setting Professional Modifier Global Typical Low $42.66 Median $50.12 Typical High $57.54 | Professional | Global | $42.66 | $50.12 | $57.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $13.49 | $21.38 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $36.31 | $36.31 | $45.71 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $147.91 Median $5,011.87 Typical High $77,624.71 | Facility | Global | $147.91 | $5,011.87 | $77,624.71 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $234.42 | Facility | TC · Technical part | $117.49 | $165.96 | $234.42 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $38.02 Median $46.77 Typical High $81.28 | Professional | Global | $38.02 | $46.77 | $81.28 |
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 $33.88 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $33.88 | $56.23 |
Cigna Setting Facility Modifier Global Typical Low $36.31 Median $81.28 Typical High $257.04 | Facility | Global | $36.31 | $81.28 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $30.20 Median $45.71 Typical High $74.13 | Professional | Global | $30.20 | $45.71 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $13.18 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $32.36 | $54.95 |
Emblem Health Setting Professional Modifier Global Typical Low $41.69 Median $56.23 Typical High $85.11 | Professional | Global | $41.69 | $56.23 | $85.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $10.72 | $14.45 | $22.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $40.74 | $61.66 |
Geisinger Setting Facility Modifier Global Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | Global | $38.90 | $38.90 | $38.90 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | TC · Technical part | $38.90 | $38.90 | $38.90 |
Geisinger Setting Professional Modifier Global Typical Low $28.18 Median $43.65 Typical High $81.28 | Professional | Global | $28.18 | $43.65 | $81.28 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $12.59 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $19.50 | $31.62 | $60.26 |
Highmark BCBS Setting Facility Modifier Global Typical Low $107.15 Median $218.78 Typical High $363.08 | Facility | Global | $107.15 | $218.78 | $363.08 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $630.96 | Facility | TC · Technical part | $190.55 | $316.23 | $630.96 |
Highmark BCBS Setting Professional Modifier Global Typical Low $41.69 Median $43.65 Typical High $50.12 | Professional | Global | $41.69 | $43.65 | $50.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $18.62 | Professional | 26 · Professional part | $11.22 | $12.59 | $18.62 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $35.48 | $51.29 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $794.33 Median $2,951.21 Typical High $3,715.35 | Facility | Global | $794.33 | $2,951.21 | $3,715.35 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $512.86 Typical High $660.69 | Facility | TC · Technical part | $478.63 | $512.86 | $660.69 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $42.66 Median $50.12 Typical High $57.54 | Professional | Global | $42.66 | $50.12 | $57.54 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $95.50 | Professional | 26 · Professional part | $13.49 | $13.49 | $95.50 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $794.33 | Professional | TC · Technical part | $36.31 | $47.86 | $794.33 |
Martin's Point Setting Facility Modifier Global Typical Low $56.23 Median $234.42 Typical High $416.87 | Facility | Global | $56.23 | $234.42 | $416.87 |
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 $186.21 Typical High $537.03 | Facility | TC · Technical part | $29.51 | $186.21 | $537.03 |
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 $14.13 Typical High $35.48 | Professional | 26 · Professional part | $9.55 | $14.13 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $33.11 | $66.07 |
Oscar Health Setting Facility Modifier Global Typical Low $162.18 Median $169.82 Typical High $234.42 | Facility | Global | $162.18 | $169.82 | $234.42 |
Oscar Health Setting Professional Modifier Global Typical Low $10.96 Median $33.11 Typical High $67.61 | Professional | Global | $10.96 | $33.11 | $67.61 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $54.95 Median $91.20 Typical High $134.90 | Facility | Global | $54.95 | $91.20 | $134.90 |
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 $26.30 Median $26.30 Typical High $27.54 | Facility | TC · Technical part | $26.30 | $26.30 | $27.54 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | Global | $38.02 | $38.02 | $41.69 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $12.02 | Professional | 26 · Professional part | $10.23 | $10.72 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $30.90 | Professional | TC · Technical part | $26.30 | $27.54 | $30.90 |
United Setting Facility Modifier Global Typical Low $144.54 Median $251.19 Typical High $346.74 | Facility | Global | $144.54 | $251.19 | $346.74 |
United Setting Professional Modifier Global Typical Low $32.36 Median $42.66 Typical High $83.18 | Professional | Global | $32.36 | $42.66 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $51.29 | Professional | 26 · Professional part | $9.33 | $12.88 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $61.66 | Professional | TC · Technical part | $22.91 | $30.20 | $61.66 |
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· 15th of 51
$63.10
SD $132TX $46.77
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.