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 $35.48 Median $190.55 Typical High $316.23 | Facility | Global | $35.48 | $190.55 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $15.14 Typical High $32.36 | Facility | 26 · Professional part | $7.59 | $15.14 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $100.00 Typical High $338.84 | Facility | TC · Technical part | $19.95 | $100.00 | $338.84 |
Aetna Setting Professional Modifier Global Typical Low $23.44 Median $36.31 Typical High $114.82 | Professional | Global | $23.44 | $36.31 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $28.84 | Professional | 26 · Professional part | $7.59 | $11.22 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.42 Typical High $58.88 | Professional | TC · Technical part | $15.85 | $20.42 | $58.88 |
Ambetter Setting Professional Modifier Global Typical Low $19.05 Median $25.12 Typical High $38.90 | Professional | Global | $19.05 | $25.12 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $12.30 Typical High $14.13 | Professional | 26 · Professional part | $6.46 | $12.30 | $14.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.20 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $18.20 | $29.51 |
AmeriHealth Setting Facility Modifier Global Typical Low $38.02 Median $77.62 Typical High $1,479.11 | Facility | Global | $38.02 | $77.62 | $1,479.11 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | TC · Technical part | $338.84 | $338.84 | $338.84 |
AmeriHealth Setting Professional Modifier Global Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | Global | $34.67 | $34.67 | $44.67 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $60.26 Median $5,011.87 Typical High $77,624.71 | Facility | Global | $60.26 | $5,011.87 | $77,624.71 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $147.91 | Facility | TC · Technical part | $74.13 | $102.33 | $147.91 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $26.92 Median $35.48 Typical High $63.10 | Professional | Global | $26.92 | $35.48 | $63.10 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $10.96 | $19.95 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $18.62 | $28.84 | $43.65 |
Cigna Setting Facility Modifier Global Typical Low $25.12 Median $53.70 Typical High $257.04 | Facility | Global | $25.12 | $53.70 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $33.11 Typical High $54.95 | Professional | Global | $22.39 | $33.11 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $6.76 | $10.47 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.91 Typical High $38.90 | Professional | TC · Technical part | $15.49 | $22.91 | $38.90 |
Emblem Health Setting Professional Modifier Global Typical Low $28.84 Median $38.90 Typical High $58.88 | Professional | Global | $28.84 | $38.90 | $58.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $11.48 | $17.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $26.92 | $40.74 |
Geisinger Setting Facility Modifier Global Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | Global | $30.90 | $30.90 | $30.90 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | TC · Technical part | $30.90 | $30.90 | $30.90 |
Geisinger Setting Professional Modifier Global Typical Low $21.88 Median $30.90 Typical High $57.54 | Professional | Global | $21.88 | $30.90 | $57.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $10.00 | $18.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.38 Typical High $39.81 | Professional | TC · Technical part | $14.13 | $21.38 | $39.81 |
Highmark BCBS Setting Facility Modifier Global Typical Low $93.33 Median $213.80 Typical High $389.05 | Facility | Global | $93.33 | $213.80 | $389.05 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $380.19 Typical High $501.19 | Facility | TC · Technical part | $147.91 | $380.19 | $501.19 |
Highmark BCBS Setting Professional Modifier Global Typical Low $30.90 Median $33.11 Typical High $38.90 | Professional | Global | $30.90 | $33.11 | $38.90 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $14.45 | Professional | 26 · Professional part | $8.71 | $10.00 | $14.45 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $35.48 | Professional | TC · Technical part | $23.99 | $28.18 | $35.48 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $57.54 Median $91.20 Typical High $1,949.84 | Facility | Global | $57.54 | $91.20 | $1,949.84 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $436.52 | Facility | TC · Technical part | $338.84 | $338.84 | $436.52 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $32.36 Median $34.67 Typical High $44.67 | Professional | Global | $32.36 | $34.67 | $44.67 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.00 | $10.47 | $13.49 |
Martin's Point Setting Facility Modifier Global Typical Low $30.90 Median $194.98 Typical High $316.23 | Facility | Global | $30.90 | $194.98 | $316.23 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $32.36 | Facility | 26 · Professional part | $7.59 | $11.75 | $32.36 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $83.18 Typical High $380.19 | Facility | TC · Technical part | $19.95 | $83.18 | $380.19 |
Martin's Point Setting Professional Modifier Global Typical Low $23.44 Median $32.36 Typical High $67.61 | Professional | Global | $23.44 | $32.36 | $67.61 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $25.70 | Professional | 26 · Professional part | $7.59 | $10.00 | $25.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.42 Typical High $44.67 | Professional | TC · Technical part | $15.85 | $20.42 | $44.67 |
Oscar Health Setting Professional Modifier Global Typical Low $8.71 Median $22.39 Typical High $47.86 | Professional | Global | $8.71 | $22.39 | $47.86 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $26.92 Median $91.20 Typical High $147.91 | Facility | Global | $26.92 | $91.20 | $147.91 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.55 | Facility | 26 · Professional part | $8.32 | $8.32 | $9.55 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $19.50 | Facility | TC · Technical part | $18.62 | $18.62 | $19.50 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $26.30 Median $26.92 Typical High $28.84 | Professional | Global | $26.30 | $26.92 | $28.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.32 Typical High $8.71 | Professional | 26 · Professional part | $8.13 | $8.32 | $8.71 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.62 Typical High $20.42 | Professional | TC · Technical part | $18.20 | $18.62 | $20.42 |
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 $23.44 Median $31.62 Typical High $63.10 | Professional | Global | $23.44 | $31.62 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $45.71 | Professional | 26 · Professional part | $7.41 | $10.23 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $43.65 | Professional | TC · Technical part | $15.85 | $21.88 | $43.65 |
Where Pennsylvania sits
The same service costs 3.1 times more in Wisconsin 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· 21st of 51
$41.69
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.