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 $56.23 Median $199.53 Typical High $371.54 | Facility | Global | $56.23 | $199.53 | $371.54 |
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 $28.84 Median $120.23 Typical High $426.58 | Facility | TC · Technical part | $28.84 | $120.23 | $426.58 |
Aetna Setting Professional Modifier Global Typical Low $8.71 Median $35.48 Typical High $74.13 | Professional | Global | $8.71 | $35.48 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $30.20 | Professional | 26 · Professional part | $7.41 | $11.48 | $30.20 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $75.86 Typical High $223.87 | Professional | 50 · Both sides | $36.31 | $75.86 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $79.43 | Professional | TC · Technical part | $21.88 | $34.67 | $79.43 |
Ambetter Setting Professional Modifier Global Typical Low $25.70 Median $30.90 Typical High $53.70 | Professional | Global | $25.70 | $30.90 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $11.75 | $15.85 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $44.67 Typical High $77.62 | Professional | 50 · Both sides | $42.66 | $44.67 | $77.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $26.92 | $43.65 |
AmeriHealth Setting Facility Modifier Global Typical Low $34.67 Median $83.18 Typical High $3,890.45 | Facility | Global | $34.67 | $83.18 | $3,890.45 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $75.86 Typical High $1,230.27 | Facility | TC · Technical part | $31.62 | $75.86 | $1,230.27 |
AmeriHealth Setting Professional Modifier Global Typical Low $38.90 Median $45.71 Typical High $60.26 | Professional | Global | $38.90 | $45.71 | $60.26 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $190.55 | Facility | TC · Technical part | $93.33 | $131.83 | $190.55 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $36.31 Median $43.65 Typical High $63.10 | Professional | Global | $36.31 | $43.65 | $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 50 · Both sides Typical Low $72.44 Median $87.10 Typical High $125.89 | Professional | 50 · Both sides | $72.44 | $87.10 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $33.11 | $46.77 |
Cigna Setting Facility Modifier Global Typical Low $36.31 Median $77.62 Typical High $208.93 | Facility | Global | $36.31 | $77.62 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $26.30 Median $38.02 Typical High $67.61 | Professional | Global | $26.30 | $38.02 | $67.61 |
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 $19.50 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $28.84 | $51.29 |
Emblem Health Setting Professional Modifier Global Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | Global | $39.81 | $52.48 | $79.43 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $11.75 | $18.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $40.74 | $61.66 |
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 $39.81 Typical High $72.44 | Professional | Global | $22.39 | $39.81 | $72.44 |
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 $30.20 Typical High $56.23 | Professional | TC · Technical part | $15.14 | $30.20 | $56.23 |
Highmark BCBS Setting Facility Modifier Global Typical Low $89.13 Median $181.97 Typical High $295.12 | Facility | Global | $89.13 | $181.97 | $295.12 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $416.87 | Facility | TC · Technical part | $144.54 | $263.03 | $416.87 |
Highmark BCBS Setting Professional Modifier Global Typical Low $39.81 Median $43.65 Typical High $52.48 | Professional | Global | $39.81 | $43.65 | $52.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $10.47 | $18.20 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $91.20 Typical High $95.50 | Professional | 50 · Both sides | $42.66 | $91.20 | $95.50 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $20.42 | $35.48 | $51.29 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $58.88 Median $83.18 Typical High $1,949.84 | Facility | Global | $58.88 | $83.18 | $1,949.84 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $186.21 | Facility | TC · Technical part | $58.88 | $83.18 | $186.21 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $38.90 Median $45.71 Typical High $58.88 | Professional | Global | $38.90 | $45.71 | $58.88 |
Independence Blue Cross 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 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Martin's Point Setting Facility Modifier Global Typical Low $46.77 Median $190.55 Typical High $389.05 | Facility | Global | $46.77 | $190.55 | $389.05 |
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 $28.84 Median $120.23 Typical High $457.09 | Facility | TC · Technical part | $28.84 | $120.23 | $457.09 |
Martin's Point Setting Professional Modifier Global Typical Low $10.72 Median $35.48 Typical High $75.86 | Professional | Global | $10.72 | $35.48 | $75.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $26.92 | Professional | 26 · Professional part | $7.24 | $10.47 | $26.92 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $74.13 Typical High $223.87 | Professional | 50 · Both sides | $29.51 | $74.13 | $223.87 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $64.57 | Professional | TC · Technical part | $22.91 | $29.51 | $64.57 |
Oscar Health Setting Professional Modifier Global Typical Low $9.12 Median $32.36 Typical High $64.57 | Professional | Global | $9.12 | $32.36 | $64.57 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $42.66 Median $81.28 Typical High $128.82 | Facility | Global | $42.66 | $81.28 | $128.82 |
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 $20.42 Median $26.92 Typical High $26.92 | Facility | TC · Technical part | $20.42 | $26.92 | $26.92 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $30.20 Median $34.67 Typical High $38.90 | Professional | Global | $30.20 | $34.67 | $38.90 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $8.32 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $30.20 | Professional | TC · Technical part | $20.42 | $26.92 | $30.20 |
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 $26.30 Median $38.90 Typical High $79.43 | Professional | Global | $26.30 | $38.90 | $79.43 |
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 $19.50 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $28.84 | $58.88 |
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
$42.66
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.