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 $51.29 Median $190.55 Typical High $446.68 | Facility | Global | $51.29 | $190.55 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $15.14 Typical High $28.84 | Facility | 26 · Professional part | $7.59 | $15.14 | $28.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $97.72 Typical High $354.81 | Facility | TC · Technical part | $24.55 | $97.72 | $354.81 |
Aetna Setting Professional Modifier Global Typical Low $26.92 Median $38.90 Typical High $141.25 | Professional | Global | $26.92 | $38.90 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $7.41 | $12.59 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $52.48 | Professional | TC · Technical part | $19.05 | $26.30 | $52.48 |
Ambetter Setting Professional Modifier Global Typical Low $18.20 Median $30.20 Typical High $43.65 | Professional | Global | $18.20 | $30.20 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $10.00 | $13.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $18.20 | $20.89 | $35.48 |
AmeriHealth Setting Facility Modifier Global Typical Low $38.02 Median $85.11 Typical High $2,951.21 | Facility | Global | $38.02 | $85.11 | $2,951.21 |
AmeriHealth Setting Professional Modifier Global Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | Global | $53.70 | $53.70 | $63.10 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | 26 · Professional part | $10.47 | $10.47 | $12.88 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $67.61 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $67.61 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $181.97 | Facility | TC · Technical part | $89.13 | $125.89 | $181.97 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $31.62 Median $37.15 Typical High $66.07 | Professional | Global | $31.62 | $37.15 | $66.07 |
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 $23.44 Median $25.70 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $25.70 | $44.67 |
Cigna Setting Facility Modifier Global Typical Low $30.90 Median $66.07 Typical High $208.93 | Facility | Global | $30.90 | $66.07 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $24.55 Median $36.31 Typical High $60.26 | Professional | Global | $24.55 | $36.31 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $6.61 | $10.23 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $26.30 | $44.67 |
Emblem Health Setting Professional Modifier Global Typical Low $33.11 Median $44.67 Typical High $67.61 | Professional | Global | $33.11 | $44.67 | $67.61 |
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 $24.55 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $32.36 | $48.98 |
Geisinger Setting Facility Modifier Global Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | Global | $33.88 | $33.88 | $33.88 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | TC · Technical part | $33.88 | $33.88 | $33.88 |
Geisinger Setting Professional Modifier Global Typical Low $23.44 Median $34.67 Typical High $64.57 | Professional | Global | $23.44 | $34.67 | $64.57 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $7.08 | $9.77 | $17.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $25.12 | $47.86 |
Highmark BCBS Setting Facility Modifier Global Typical Low $109.65 Median $186.21 Typical High $309.03 | Facility | Global | $109.65 | $186.21 | $309.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $416.87 | Facility | TC · Technical part | $162.18 | $288.40 | $416.87 |
Highmark BCBS Setting Professional Modifier Global Typical Low $33.11 Median $38.90 Typical High $41.69 | Professional | Global | $33.11 | $38.90 | $41.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $13.80 | Professional | 26 · Professional part | $8.71 | $9.77 | $13.80 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $29.51 | $29.51 | $34.67 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $69.18 Median $109.65 Typical High $3,090.30 | Facility | Global | $69.18 | $109.65 | $3,090.30 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | Global | $53.70 | $63.10 | $63.10 |
Independence Blue Cross 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 |
Martin's Point Setting Facility Modifier Global Typical Low $41.69 Median $173.78 Typical High $446.68 | Facility | Global | $41.69 | $173.78 | $446.68 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $28.84 | Facility | 26 · Professional part | $7.59 | $12.88 | $28.84 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $89.13 Typical High $407.38 | Facility | TC · Technical part | $23.44 | $89.13 | $407.38 |
Martin's Point Setting Professional Modifier Global Typical Low $26.92 Median $37.15 Typical High $74.13 | Professional | Global | $26.92 | $37.15 | $74.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.72 Typical High $25.70 | Professional | 26 · Professional part | $7.24 | $10.72 | $25.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $25.12 | $52.48 |
Oscar Health Setting Facility Modifier Global Typical Low $134.90 Median $141.25 Typical High $331.13 | Facility | Global | $134.90 | $141.25 | $331.13 |
Oscar Health Setting Professional Modifier Global Typical Low $8.71 Median $26.92 Typical High $54.95 | Professional | Global | $8.71 | $26.92 | $54.95 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $31.62 Median $91.20 Typical High $162.18 | Facility | Global | $31.62 | $91.20 | $162.18 |
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 $21.88 Median $22.91 Typical High $22.91 | Facility | TC · Technical part | $21.88 | $22.91 | $22.91 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $30.90 Median $31.62 Typical High $33.88 | Professional | Global | $30.90 | $31.62 | $33.88 |
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 $22.39 Median $22.91 Typical High $25.12 | Professional | TC · Technical part | $22.39 | $22.91 | $25.12 |
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 $25.70 Median $34.67 Typical High $69.18 | Professional | Global | $25.70 | $34.67 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $29.51 | Professional | 26 · Professional part | $7.41 | $10.00 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $25.12 | $50.12 |
Where Pennsylvania sits
The same service costs 2.8 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· 9th of 51
$53.70
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.