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 $36.31 Median $190.55 Typical High $269.15 | Facility | Global | $36.31 | $190.55 | $269.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $14.45 Typical High $27.54 | Facility | 26 · Professional part | $6.92 | $14.45 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $79.43 Typical High $281.84 | Facility | TC · Technical part | $25.12 | $79.43 | $281.84 |
Aetna Setting Professional Modifier Global Typical Low $10.72 Median $30.20 Typical High $67.61 | Professional | Global | $10.72 | $30.20 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $6.92 | $12.30 | $25.70 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $24.55 Median $66.07 Typical High $79.43 | Professional | 50 · Both sides | $24.55 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.45 Typical High $32.36 | Professional | 52 · Reduced service | $11.22 | $14.45 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $23.44 | $47.86 |
Ambetter Setting Professional Modifier Global Typical Low $9.55 Median $25.70 Typical High $38.02 | Professional | Global | $9.55 | $25.70 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.77 Typical High $12.02 | Professional | 26 · Professional part | $5.62 | $9.77 | $12.02 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 50 · Both sides | $32.36 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $22.39 | Professional | TC · Technical part | $15.85 | $21.88 | $22.39 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Facility | Global | $1,584.89 | $1,584.89 | $1,621.81 |
AmeriHealth Setting Professional Modifier Global Typical Low $39.81 Median $40.74 Typical High $54.95 | Professional | Global | $39.81 | $40.74 | $54.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $40.74 | Professional | 26 · Professional part | $10.00 | $10.00 | $40.74 |
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 $30.90 Median $37.15 Typical High $58.88 | Professional | Global | $30.90 | $37.15 | $58.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $7.76 | $10.00 | $18.62 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $61.66 Median $74.13 Typical High $117.49 | Professional | 50 · Both sides | $61.66 | $74.13 | $117.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $23.44 | $26.92 | $40.74 |
Cigna Setting Facility Modifier Global Typical Low $30.90 Median $67.61 Typical High $208.93 | Facility | Global | $30.90 | $67.61 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $23.44 Median $34.67 Typical High $60.26 | Professional | Global | $23.44 | $34.67 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $6.17 | $9.55 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $25.12 | $44.67 |
Emblem Health Setting Professional Modifier Global Typical Low $33.88 Median $44.67 Typical High $57.54 | Professional | Global | $33.88 | $44.67 | $57.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $8.13 | $10.96 | $14.45 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $25.12 | $33.11 | $43.65 |
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 $33.88 Typical High $61.66 | Professional | Global | $20.42 | $33.88 | $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 $25.12 Typical High $46.77 | Professional | TC · Technical part | $13.80 | $25.12 | $46.77 |
Highmark BCBS Setting Facility Modifier Global Typical Low $97.72 Median $186.21 Typical High $331.13 | Facility | Global | $97.72 | $186.21 | $331.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $524.81 | Facility | TC · Technical part | $123.03 | $169.82 | $524.81 |
Highmark BCBS Setting Professional Modifier Global Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | Global | $32.36 | $35.48 | $40.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $7.76 | $9.12 | $14.45 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $77.62 Median $89.13 Typical High $91.20 | Professional | 50 · Both sides | $77.62 | $89.13 | $91.20 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $17.78 | Professional | 52 · Reduced service | $4.27 | $4.27 | $17.78 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $58.88 Median $87.10 Typical High $1,621.81 | Facility | Global | $58.88 | $87.10 | $1,621.81 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $39.81 Median $40.74 Typical High $52.48 | Professional | Global | $39.81 | $40.74 | $52.48 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $40.74 | Professional | 26 · Professional part | $10.00 | $10.00 | $40.74 |
Martin's Point Setting Facility Modifier Global Typical Low $35.48 Median $181.97 Typical High $302.00 | Facility | Global | $35.48 | $181.97 | $302.00 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $12.02 Typical High $27.54 | Facility | 26 · Professional part | $6.92 | $12.02 | $27.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $79.43 Typical High $295.12 | Facility | TC · Technical part | $24.55 | $79.43 | $295.12 |
Martin's Point Setting Professional Modifier Global Typical Low $13.49 Median $31.62 Typical High $69.18 | Professional | Global | $13.49 | $31.62 | $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 $9.12 Median $60.26 Typical High $67.61 | Professional | 50 · Both sides | $9.12 | $60.26 | $67.61 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $15.49 Typical High $31.62 | Professional | 52 · Reduced service | $12.02 | $15.49 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $25.12 | $51.29 |
Oscar Health Setting Facility Modifier Global Typical Low $177.83 Median $213.80 Typical High $302.00 | Facility | Global | $177.83 | $213.80 | $302.00 |
Oscar Health Setting Professional Modifier Global Typical Low $8.32 Median $27.54 Typical High $54.95 | Professional | Global | $8.32 | $27.54 | $54.95 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $31.62 Median $69.18 Typical High $97.72 | Facility | Global | $31.62 | $69.18 | $97.72 |
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 $23.44 Typical High $23.44 | Facility | TC · Technical part | $19.50 | $23.44 | $23.44 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $30.90 Median $31.62 Typical High $33.88 | Professional | Global | $30.90 | $31.62 | $33.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $8.32 | Professional | 26 · Professional part | $7.76 | $7.94 | $8.32 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | TC · Technical part | $22.91 | $23.44 | $25.70 |
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 $23.99 Median $34.67 Typical High $67.61 | Professional | Global | $23.99 | $34.67 | $67.61 |
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 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $25.12 | $51.29 |
Where Pennsylvania sits
The same service costs 2.8 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· 28th of 51
$36.31
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.