How much rates vary
Professionalmedian $48 · 10th to 90th $14 to $95
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 26 · Professional part Typical Low $9.55 Median $19.05 Typical High $39.81 | Facility | 26 · Professional part | $9.55 | $19.05 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $151.36 Typical High $575.44 | Facility | TC · Technical part | $36.31 | $151.36 | $575.44 |
Aetna Setting Professional Modifier Global Typical Low $14.13 Median $47.86 Typical High $95.50 | Professional | Global | $14.13 | $47.86 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $15.49 Typical High $37.15 | Professional | 26 · Professional part | $9.55 | $15.49 | $37.15 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $112.20 Typical High $380.19 | Professional | 50 · Both sides | $46.77 | $112.20 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.95 Typical High $27.54 | Professional | 52 · Reduced service | $15.49 | $19.95 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $28.18 | $42.66 | $72.44 |
Ambetter Setting Professional Modifier Global Typical Low $34.67 Median $47.86 Typical High $74.13 | Professional | Global | $34.67 | $47.86 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.49 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $13.49 | $19.95 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $67.61 Typical High $112.20 | Professional | 50 · Both sides | $50.12 | $67.61 | $112.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $40.74 | $64.57 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $1,479.11 Typical High $1,949.84 | Facility | TC · Technical part | $48.98 | $1,479.11 | $1,949.84 |
AmeriHealth Setting Professional Modifier Global Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | Global | $48.98 | $57.54 | $63.10 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $13.49 | $13.49 | $23.44 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $44.67 | $44.67 | $53.70 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $245.47 | Facility | TC · Technical part | $120.23 | $169.82 | $245.47 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $45.71 Median $50.12 Typical High $77.62 | Professional | Global | $45.71 | $50.12 | $77.62 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $10.96 | $14.13 | $24.55 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $100.00 Typical High $158.49 | Professional | 50 · Both sides | $91.20 | $100.00 | $158.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $34.67 | $36.31 | $58.88 |
Cigna Setting Professional Modifier Global Typical Low $33.88 Median $48.98 Typical High $87.10 | Professional | Global | $33.88 | $48.98 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $13.49 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $36.31 | $66.07 |
Emblem Health Setting Professional Modifier Global Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | Global | $51.29 | $67.61 | $89.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $15.14 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $52.48 | $67.61 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | TC · Technical part | $37.15 | $37.15 | $37.15 |
Geisinger Setting Professional Modifier Global Typical Low $26.92 Median $51.29 Typical High $93.33 | Professional | Global | $26.92 | $51.29 | $93.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $8.91 | $12.88 | $23.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $38.90 Typical High $74.13 | Professional | TC · Technical part | $18.20 | $38.90 | $74.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $501.19 | Facility | TC · Technical part | $186.21 | $302.00 | $501.19 |
Highmark BCBS Setting Professional Modifier Global Typical Low $52.48 Median $53.70 Typical High $70.79 | Professional | Global | $52.48 | $53.70 | $70.79 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $13.49 | $23.44 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $25.12 Median $107.15 Typical High $120.23 | Professional | 50 · Both sides | $25.12 | $107.15 | $120.23 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $43.65 | $63.10 | $63.10 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $1,122.02 Typical High $1,949.84 | Facility | TC · Technical part | $48.98 | $1,122.02 | $1,949.84 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | Global | $48.98 | $57.54 | $63.10 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $13.49 | $20.42 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $38.02 | $44.67 | $56.23 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $15.14 Typical High $39.81 | Facility | 26 · Professional part | $9.55 | $15.14 | $39.81 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $131.83 Typical High $616.60 | Facility | TC · Technical part | $36.31 | $131.83 | $616.60 |
Martin's Point Setting Professional Modifier Global Typical Low $15.14 Median $46.77 Typical High $95.50 | Professional | Global | $15.14 | $46.77 | $95.50 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $33.88 | Professional | 26 · Professional part | $9.55 | $14.13 | $33.88 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $95.50 Typical High $251.19 | Professional | 50 · Both sides | $38.02 | $95.50 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $22.39 Typical High $45.71 | Professional | 52 · Reduced service | $18.62 | $22.39 | $45.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $28.84 | $38.02 | $77.62 |
Oscar Health Setting Professional Modifier Global Typical Low $11.48 Median $42.66 Typical High $85.11 | Professional | Global | $11.48 | $42.66 | $85.11 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $19.95 | Facility | 26 · Professional part | $10.96 | $10.96 | $19.95 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $33.88 | Facility | TC · Technical part | $28.18 | $28.18 | $33.88 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | Global | $43.65 | $44.67 | $48.98 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $10.72 | $10.96 | $19.95 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $37.15 | Professional | TC · Technical part | $28.18 | $33.88 | $37.15 |
United Setting Professional Modifier Global Typical Low $33.88 Median $48.98 Typical High $97.72 | Professional | Global | $33.88 | $48.98 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $32.36 | Professional | 26 · Professional part | $9.55 | $12.88 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $23.99 | $35.48 | $63.10 |
Where Pennsylvania sits
The same service costs 2.3 times more in Wisconsin than in Virginia. 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· 33rd of 51
$47.86
WI $95.50VA $41.69
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.