How much rates vary
Facilitymedian $200 · 10th to 90th $45 to $324Professionalmedian $31 · 10th to 90th $8 to $69
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 $43.65 Median $204.17 Typical High $323.59 | Facility | Global | $43.65 | $204.17 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $14.45 Typical High $30.90 | Facility | 26 · Professional part | $7.24 | $14.45 | $30.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $97.72 Typical High $295.12 | Facility | TC · Technical part | $26.92 | $97.72 | $295.12 |
Aetna Setting Professional Modifier Global Typical Low $7.94 Median $30.90 Typical High $69.18 | Professional | Global | $7.94 | $30.90 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.72 Typical High $26.92 | Professional | 26 · Professional part | $7.24 | $10.72 | $26.92 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $26.30 Median $58.88 Typical High $194.98 | Professional | 50 · Both sides | $26.30 | $58.88 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $14.79 Typical High $20.42 | Professional | 52 · Reduced service | $11.75 | $14.79 | $20.42 |
Aetna 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 |
Ambetter Setting Professional Modifier Global Typical Low $25.70 Median $30.90 Typical High $52.48 | Professional | Global | $25.70 | $30.90 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $11.75 Typical High $15.14 | Professional | 26 · Professional part | $6.31 | $11.75 | $15.14 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $43.65 Typical High $70.79 | Professional | 50 · Both sides | $39.81 | $43.65 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $12.88 | $23.99 | $39.81 |
AmeriHealth Setting Facility Modifier Global Typical Low $29.51 Median $70.79 Typical High $501.19 | Facility | Global | $29.51 | $70.79 | $501.19 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $630.96 Typical High $645.65 | Facility | TC · Technical part | $29.51 | $630.96 | $645.65 |
AmeriHealth Setting Professional Modifier Global Typical Low $38.90 Median $43.65 Typical High $57.54 | Professional | Global | $38.90 | $43.65 | $57.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.00 | $17.78 |
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 $83.18 Median $117.49 Typical High $165.96 | Facility | TC · Technical part | $83.18 | $117.49 | $165.96 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $33.11 Median $38.90 Typical High $63.10 | Professional | Global | $33.11 | $38.90 | $63.10 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $10.72 | $19.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $77.62 Typical High $125.89 | Professional | 50 · Both sides | $66.07 | $77.62 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $28.18 | $43.65 |
Cigna Setting Facility Modifier Global Typical Low $33.11 Median $72.44 Typical High $208.93 | Facility | Global | $33.11 | $72.44 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $24.55 Median $36.31 Typical High $63.10 | Professional | Global | $24.55 | $36.31 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $10.47 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $26.30 | $47.86 |
Emblem Health Setting Professional Modifier Global Typical Low $35.48 Median $47.86 Typical High $72.44 | Professional | Global | $35.48 | $47.86 | $72.44 |
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 $27.54 Median $36.31 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $36.31 | $54.95 |
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 $21.88 Median $35.48 Typical High $66.07 | Professional | Global | $21.88 | $35.48 | $66.07 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $9.77 | $17.38 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $14.79 | $26.92 | $51.29 |
Highmark BCBS Setting Facility Modifier Global Typical Low $100.00 Median $186.21 Typical High $309.03 | Facility | Global | $100.00 | $186.21 | $309.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $537.03 | Facility | TC · Technical part | $123.03 | $218.78 | $537.03 |
Highmark BCBS Setting Professional Modifier Global Typical Low $36.31 Median $41.69 Typical High $57.54 | Professional | Global | $36.31 | $41.69 | $57.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $9.77 | $17.78 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $18.20 Median $19.95 Typical High $87.10 | Professional | 50 · Both sides | $18.20 | $19.95 | $87.10 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $31.62 | $38.02 | $44.67 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $67.61 Median $83.18 Typical High $2,089.30 | Facility | Global | $67.61 | $83.18 | $2,089.30 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $630.96 Median $645.65 Typical High $812.83 | Facility | TC · Technical part | $630.96 | $645.65 | $812.83 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $40.74 Median $43.65 Typical High $48.98 | Professional | Global | $40.74 | $43.65 | $48.98 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $10.00 | $10.00 | $13.49 |
Martin's Point Setting Facility Modifier Global Typical Low $39.81 Median $199.53 Typical High $346.74 | Facility | Global | $39.81 | $199.53 | $346.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $12.02 Typical High $30.90 | Facility | 26 · Professional part | $7.24 | $12.02 | $30.90 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $91.20 Typical High $302.00 | Facility | TC · Technical part | $23.44 | $91.20 | $302.00 |
Martin's Point Setting Professional Modifier Global Typical Low $8.32 Median $33.11 Typical High $69.18 | Professional | Global | $8.32 | $33.11 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $25.12 | Professional | 26 · Professional part | $7.24 | $9.77 | $25.12 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $26.30 Median $44.67 Typical High $194.98 | Professional | 50 · Both sides | $26.30 | $44.67 | $194.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $33.88 | Professional | 52 · Reduced service | $13.80 | $16.22 | $33.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $21.38 | $26.92 | $54.95 |
Oscar Health Setting Professional Modifier Global Typical Low $8.32 Median $28.84 Typical High $58.88 | Professional | Global | $8.32 | $28.84 | $58.88 |
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 $12.02 | Facility | 26 · Professional part | $7.94 | $7.94 | $12.02 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $25.12 | Facility | TC · Technical part | $19.95 | $19.95 | $25.12 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | Global | $32.36 | $32.36 | $35.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $7.76 | $7.94 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $27.54 | Professional | TC · Technical part | $19.95 | $24.55 | $27.54 |
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 $35.48 Typical High $70.79 | Professional | Global | $25.70 | $35.48 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $51.29 | Professional | 26 · Professional part | $7.24 | $10.00 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $18.20 | $26.92 | $56.23 |
Where Pennsylvania sits
The same service costs 2.2 times more in West Virginia 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· 36th of 51
$38.02
WV $67.61SD $30.90
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.