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 $213.80 Typical High $316.23 | Facility | Global | $35.48 | $213.80 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $14.45 Typical High $27.54 | Facility | 26 · Professional part | $7.24 | $14.45 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $93.33 Typical High $331.13 | Facility | TC · Technical part | $23.44 | $93.33 | $331.13 |
Aetna Setting Professional Modifier Global Typical Low $11.75 Median $28.18 Typical High $104.71 | Professional | Global | $11.75 | $28.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $6.76 | $12.02 | $23.99 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 50 · Both sides | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $87.10 | Professional | 52 · Reduced service | $11.22 | $14.13 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $22.39 | $48.98 |
Ambetter Setting Professional Modifier Global Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | Global | $20.89 | $24.55 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.55 Typical High $13.80 | Professional | 26 · Professional part | $6.17 | $9.55 | $13.80 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 50 · Both sides | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $17.78 | $40.74 |
AmeriHealth Setting Facility Modifier Global Typical Low $32.36 Median $77.62 Typical High $5,754.40 | Facility | Global | $32.36 | $77.62 | $5,754.40 |
AmeriHealth Setting Professional Modifier Global Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | Global | $33.11 | $38.90 | $54.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.88 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $117.49 Median $128.82 Typical High $57,543.99 | Facility | Global | $117.49 | $128.82 | $57,543.99 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $162.18 | Facility | TC · Technical part | $79.43 | $112.20 | $162.18 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $30.20 Median $35.48 Typical High $58.88 | Professional | Global | $30.20 | $35.48 | $58.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $10.72 | $18.62 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | 50 · Both sides | $60.26 | $70.79 | $117.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $24.55 | $40.74 |
Cigna Setting Facility Modifier Global Typical Low $29.51 Median $64.57 Typical High $257.04 | Facility | Global | $29.51 | $64.57 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $33.11 Typical High $57.54 | Professional | Global | $22.39 | $33.11 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $9.77 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $23.99 | $42.66 |
Emblem Health Setting Professional Modifier Global Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | Global | $32.36 | $43.65 | $66.07 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $10.96 | $16.98 |
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 $28.84 Median $28.84 Typical High $28.84 | Facility | Global | $28.84 | $28.84 | $28.84 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | TC · Technical part | $28.84 | $28.84 | $28.84 |
Geisinger Setting Professional Modifier Global Typical Low $20.42 Median $33.11 Typical High $61.66 | Professional | Global | $20.42 | $33.11 | $61.66 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $9.12 | $16.60 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $13.80 | $23.99 | $44.67 |
Highmark BCBS Setting Facility Modifier Global Typical Low $79.43 Median $223.87 Typical High $363.08 | Facility | Global | $79.43 | $223.87 | $363.08 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $208.93 Typical High $398.11 | Facility | TC · Technical part | $128.82 | $208.93 | $398.11 |
Highmark BCBS Setting Professional Modifier Global Typical Low $30.90 Median $37.15 Typical High $39.81 | Professional | Global | $30.90 | $37.15 | $39.81 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.33 | $17.78 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $18.62 Median $75.86 Typical High $79.43 | Professional | 50 · Both sides | $18.62 | $75.86 | $79.43 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $58.88 Median $85.11 Typical High $5,754.40 | Facility | Global | $58.88 | $85.11 | $5,754.40 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $37.15 Median $38.90 Typical High $50.12 | Professional | Global | $37.15 | $38.90 | $50.12 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.88 |
Martin's Point Setting Facility Modifier Global Typical Low $33.88 Median $194.98 Typical High $331.13 | Facility | Global | $33.88 | $194.98 | $331.13 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $12.59 Typical High $27.54 | Facility | 26 · Professional part | $7.24 | $12.59 | $27.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $79.43 Typical High $338.84 | Facility | TC · Technical part | $20.89 | $79.43 | $338.84 |
Martin's Point Setting Professional Modifier Global Typical Low $16.22 Median $30.20 Typical High $69.18 | Professional | Global | $16.22 | $30.20 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $22.91 | Professional | 26 · Professional part | $6.76 | $9.77 | $22.91 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 50 · Both sides | $13.49 | $13.49 | $13.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.79 Typical High $35.48 | Professional | 52 · Reduced service | $12.88 | $14.79 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $23.44 | $50.12 |
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 $8.32 Median $25.70 Typical High $53.70 | Professional | Global | $8.32 | $25.70 | $53.70 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $53.70 Median $91.20 Typical High $117.49 | Facility | Global | $53.70 | $91.20 | $117.49 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.51 | Facility | 26 · Professional part | $7.94 | $7.94 | $8.51 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $21.88 | Facility | TC · Technical part | $19.50 | $19.50 | $21.88 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | Global | $28.18 | $29.51 | $32.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $8.51 | Professional | 26 · Professional part | $7.76 | $7.94 | $8.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $21.88 | $24.55 |
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 $33.11 Typical High $64.57 | Professional | Global | $23.44 | $33.11 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $28.18 | Professional | 26 · Professional part | $6.92 | $9.55 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $16.60 | $23.99 | $48.98 |
Where Pennsylvania sits
The same service costs 2.4 times more in Alaska than in South Dakota. 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· 30th of 51
$35.48
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.