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 $37.15 Median $186.21 Typical High $316.23 | Facility | Global | $37.15 | $186.21 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $13.80 Typical High $27.54 | Facility | 26 · Professional part | $6.92 | $13.80 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $87.10 Typical High $295.12 | Facility | TC · Technical part | $21.88 | $87.10 | $295.12 |
Aetna Setting Professional Modifier Global Typical Low $10.23 Median $28.18 Typical High $93.33 | Professional | Global | $10.23 | $28.18 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.96 Typical High $30.20 | Professional | 26 · Professional part | $6.92 | $10.96 | $30.20 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $26.30 Median $26.30 Typical High $162.18 | Professional | 50 · Both sides | $26.30 | $26.30 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $16.60 | $22.39 | $47.86 |
Ambetter Setting Professional Modifier Global Typical Low $19.50 Median $23.44 Typical High $40.74 | Professional | Global | $19.50 | $23.44 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $6.17 | $10.47 | $13.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
AmeriHealth Setting Facility Modifier Global Typical Low $36.31 Median $87.10 Typical High $4,073.80 | Facility | Global | $36.31 | $87.10 | $4,073.80 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $79.43 Typical High $398.11 | Facility | TC · Technical part | $33.11 | $79.43 | $398.11 |
AmeriHealth Setting Professional Modifier Global Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | Global | $36.31 | $36.31 | $43.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $12.59 | Professional | 26 · Professional part | $9.55 | $9.55 | $12.59 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $100.00 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $100.00 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $162.18 | Facility | TC · Technical part | $81.28 | $114.82 | $162.18 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $28.18 Median $33.88 Typical High $61.66 | Professional | Global | $28.18 | $33.88 | $61.66 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $7.76 | $10.47 | $18.62 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $67.61 Typical High $123.03 | Professional | 50 · Both sides | $56.23 | $67.61 | $123.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $23.44 | $40.74 |
Cigna Setting Facility Modifier Global Typical Low $27.54 Median $58.88 Typical High $208.93 | Facility | Global | $27.54 | $58.88 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $33.11 Typical High $56.23 | Professional | Global | $22.39 | $33.11 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.55 Typical High $15.49 | Professional | 26 · Professional part | $6.17 | $9.55 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.99 Typical High $40.74 | Professional | TC · Technical part | $15.85 | $23.99 | $40.74 |
Emblem Health Setting Professional Modifier Global Typical Low $30.20 Median $39.81 Typical High $61.66 | Professional | Global | $30.20 | $39.81 | $61.66 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $10.47 | $16.60 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $29.51 | $44.67 |
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 $21.38 Median $31.62 Typical High $57.54 | Professional | Global | $21.38 | $31.62 | $57.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $8.91 | $16.60 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $14.45 | $22.91 | $43.65 |
Highmark BCBS Setting Facility Modifier Global Typical Low $87.10 Median $181.97 Typical High $380.19 | Facility | Global | $87.10 | $181.97 | $380.19 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $537.03 | Facility | TC · Technical part | $141.25 | $213.80 | $537.03 |
Highmark BCBS Setting Professional Modifier Global Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | Global | $32.36 | $35.48 | $37.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $9.12 | $14.13 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 50 · Both sides | $66.07 | $66.07 | $66.07 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $26.30 | $37.15 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $60.26 Median $87.10 Typical High $1,288.25 | Facility | Global | $60.26 | $87.10 | $1,288.25 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $190.55 | Facility | TC · Technical part | $61.66 | $87.10 | $190.55 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $33.11 Median $36.31 Typical High $43.65 | Professional | Global | $33.11 | $36.31 | $43.65 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $12.59 | Professional | 26 · Professional part | $9.55 | $9.55 | $12.59 |
Martin's Point Setting Facility Modifier Global Typical Low $33.11 Median $186.21 Typical High $371.54 | Facility | Global | $33.11 | $186.21 | $371.54 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $11.48 Typical High $27.54 | Facility | 26 · Professional part | $6.92 | $11.48 | $27.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $87.10 Typical High $371.54 | Facility | TC · Technical part | $19.50 | $87.10 | $371.54 |
Martin's Point Setting Professional Modifier Global Typical Low $10.72 Median $29.51 Typical High $69.18 | Professional | Global | $10.72 | $29.51 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $23.99 | Professional | 26 · Professional part | $6.76 | $9.77 | $23.99 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 50 · Both sides | $26.30 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $21.88 | $46.77 |
Oscar Health Setting Facility Modifier Global Typical Low $208.93 Median $218.78 Typical High $389.05 | Facility | Global | $208.93 | $218.78 | $389.05 |
Oscar Health Setting Professional Modifier Global Typical Low $7.94 Median $23.99 Typical High $48.98 | Professional | Global | $7.94 | $23.99 | $48.98 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $50.12 Median $91.20 Typical High $120.23 | Facility | Global | $50.12 | $91.20 | $120.23 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $8.51 | Facility | 26 · Professional part | $7.59 | $7.59 | $8.51 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $20.42 Typical High $20.42 | Facility | TC · Technical part | $19.95 | $20.42 | $20.42 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $27.54 Median $28.18 Typical High $30.20 | Professional | Global | $27.54 | $28.18 | $30.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $8.51 | Professional | 26 · Professional part | $7.41 | $7.59 | $8.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.42 Typical High $22.39 | Professional | TC · Technical part | $19.95 | $20.42 | $22.39 |
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 $23.44 Median $31.62 Typical High $60.26 | Professional | Global | $23.44 | $31.62 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $27.54 | Professional | 26 · Professional part | $6.92 | $9.55 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $22.39 | $45.71 |
Where Pennsylvania sits
The same service costs 2.4 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· 28th of 51
$37.15
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.