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 $58.88 Median $190.55 Typical High $338.84 | Facility | Global | $58.88 | $190.55 | $338.84 |
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 $33.11 Median $138.04 Typical High $371.54 | Facility | TC · Technical part | $33.11 | $138.04 | $371.54 |
Aetna Setting Professional Modifier Global Typical Low $8.91 Median $39.81 Typical High $91.20 | Professional | Global | $8.91 | $39.81 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $32.36 | Professional | 26 · Professional part | $7.59 | $12.30 | $32.36 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $11.48 Median $109.65 Typical High $302.00 | Professional | 50 · Both sides | $11.48 | $109.65 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $74.13 | Professional | TC · Technical part | $25.12 | $38.90 | $74.13 |
Ambetter Setting Professional Modifier Global Typical Low $28.84 Median $37.15 Typical High $63.10 | Professional | Global | $28.84 | $37.15 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $12.30 Typical High $14.45 | Professional | 26 · Professional part | $6.61 | $12.30 | $14.45 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 50 · Both sides | $50.12 | $50.12 | $54.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $36.31 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $36.31 | $51.29 |
AmeriHealth Setting Facility Modifier Global Typical Low $31.62 Median $75.86 Typical High $181.97 | Facility | Global | $31.62 | $75.86 | $181.97 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $75.86 Typical High $1,819.70 | Facility | TC · Technical part | $31.62 | $75.86 | $1,819.70 |
AmeriHealth Setting Professional Modifier Global Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | Global | $43.65 | $51.29 | $64.57 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $10.47 | $10.47 | $16.22 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $87.10 Median $5,011.87 Typical High $57,543.99 | Facility | Global | $87.10 | $5,011.87 | $57,543.99 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $213.80 | Facility | TC · Technical part | $107.15 | $147.91 | $213.80 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $39.81 Median $47.86 Typical High $69.18 | Professional | Global | $39.81 | $47.86 | $69.18 |
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 50 · Both sides Typical Low $79.43 Median $95.50 Typical High $138.04 | Professional | 50 · Both sides | $79.43 | $95.50 | $138.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $38.02 | $53.70 |
Cigna Setting Facility Modifier Global Typical Low $40.74 Median $89.13 Typical High $208.93 | Facility | Global | $40.74 | $89.13 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $28.18 Median $42.66 Typical High $75.86 | Professional | Global | $28.18 | $42.66 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $6.61 | $10.47 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $32.36 | $60.26 |
Emblem Health Setting Professional Modifier Global Typical Low $44.67 Median $58.88 Typical High $75.86 | Professional | Global | $44.67 | $58.88 | $75.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $11.75 | $15.85 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $35.48 | $46.77 | $60.26 |
Geisinger Setting Facility Modifier Global Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | Global | $32.36 | $32.36 | $32.36 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | TC · Technical part | $32.36 | $32.36 | $32.36 |
Geisinger Setting Professional Modifier Global Typical Low $22.39 Median $43.65 Typical High $81.28 | Professional | Global | $22.39 | $43.65 | $81.28 |
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 $15.14 Median $34.67 Typical High $66.07 | Professional | TC · Technical part | $15.14 | $34.67 | $66.07 |
Highmark BCBS Setting Facility Modifier Global Typical Low $91.20 Median $190.55 Typical High $295.12 | Facility | Global | $91.20 | $190.55 | $295.12 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $407.38 | Facility | TC · Technical part | $134.90 | $229.09 | $407.38 |
Highmark BCBS Setting Professional Modifier Global Typical Low $45.71 Median $48.98 Typical High $58.88 | Professional | Global | $45.71 | $48.98 | $58.88 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $10.23 | $16.22 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $100.00 Typical High $117.49 | Professional | 50 · Both sides | $64.57 | $100.00 | $117.49 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $19.50 | $39.81 | $56.23 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $63.10 Median $89.13 Typical High $181.97 | Facility | Global | $63.10 | $89.13 | $181.97 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $186.21 | Facility | TC · Technical part | $57.54 | $83.18 | $186.21 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $43.65 Median $51.29 Typical High $58.88 | Professional | Global | $43.65 | $51.29 | $58.88 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $10.23 | $10.47 | $16.22 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Martin's Point Setting Facility Modifier Global Typical Low $52.48 Median $186.21 Typical High $371.54 | Facility | Global | $52.48 | $186.21 | $371.54 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $28.84 | Facility | 26 · Professional part | $7.59 | $11.75 | $28.84 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $134.90 Typical High $426.58 | Facility | TC · Technical part | $33.11 | $134.90 | $426.58 |
Martin's Point Setting Professional Modifier Global Typical Low $11.22 Median $40.74 Typical High $89.13 | Professional | Global | $11.22 | $40.74 | $89.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $26.92 | Professional | 26 · Professional part | $7.59 | $10.96 | $26.92 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $11.48 Median $109.65 Typical High $302.00 | Professional | 50 · Both sides | $11.48 | $109.65 | $302.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $33.88 | $72.44 |
Oscar Health Setting Facility Modifier Global Typical Low $676.08 Median $691.83 Typical High $1,096.48 | Facility | Global | $676.08 | $691.83 | $1,096.48 |
Oscar Health Setting Professional Modifier Global Typical Low $9.12 Median $36.31 Typical High $75.86 | Professional | Global | $9.12 | $36.31 | $75.86 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $56.23 Median $91.20 Typical High $120.23 | Facility | Global | $56.23 | $91.20 | $120.23 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $9.55 | Facility | 26 · Professional part | $8.32 | $9.55 | $9.55 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $30.90 | Facility | TC · Technical part | $23.44 | $23.44 | $30.90 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $33.11 Median $38.90 Typical High $42.66 | Professional | Global | $33.11 | $38.90 | $42.66 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $8.51 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $33.88 | Professional | TC · Technical part | $23.44 | $30.90 | $33.88 |
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 $28.18 Median $42.66 Typical High $85.11 | Professional | Global | $28.18 | $42.66 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $23.99 | Professional | 26 · Professional part | $7.24 | $10.00 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $20.89 | $33.11 | $69.18 |
Where Pennsylvania sits
The same service costs 2.2 times more in Alaska 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· 19th of 51
$48.98
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.