How much rates vary
Facilitymedian $170 · 10th to 90th $54 to $389Professionalmedian $37 · 10th to 90th $9 to $81
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 $52.48 Median $173.78 Typical High $389.05 | Facility | Global | $52.48 | $173.78 | $389.05 |
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 $117.49 Typical High $407.38 | Facility | TC · Technical part | $28.84 | $117.49 | $407.38 |
Aetna Setting Professional Modifier Global Typical Low $8.91 Median $37.15 Typical High $81.28 | Professional | Global | $8.91 | $37.15 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $30.20 | Professional | 26 · Professional part | $7.59 | $12.30 | $30.20 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $64.57 Typical High $91.20 | Professional | 50 · Both sides | $29.51 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $16.22 Typical High $21.88 | Professional | 52 · Reduced service | $12.30 | $16.22 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $21.88 | $36.31 | $60.26 |
Ambetter Setting Professional Modifier Global Typical Low $26.30 Median $33.11 Typical High $56.23 | Professional | Global | $26.30 | $33.11 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $10.23 | $14.13 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $58.88 Typical High $63.10 | Professional | 50 · Both sides | $37.15 | $58.88 | $63.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $19.05 | $30.90 | $58.88 |
AmeriHealth Setting Facility Modifier Global Typical Low $31.62 Median $75.86 Typical High $1,995.26 | Facility | Global | $31.62 | $75.86 | $1,995.26 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $75.86 Typical High $1,174.90 | Facility | TC · Technical part | $31.62 | $75.86 | $1,174.90 |
AmeriHealth Setting Professional Modifier Global Typical Low $37.15 Median $42.66 Typical High $60.26 | Professional | Global | $37.15 | $42.66 | $60.26 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $10.47 | $16.98 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $35.48 | $45.71 |
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 $34.67 Median $39.81 Typical High $63.10 | Professional | Global | $34.67 | $39.81 | $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 $70.79 Median $81.28 Typical High $125.89 | Professional | 50 · Both sides | $70.79 | $81.28 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $31.62 | $45.71 |
Cigna Setting Facility Modifier Global Typical Low $35.48 Median $79.43 Typical High $208.93 | Facility | Global | $35.48 | $79.43 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $26.92 Median $38.02 Typical High $69.18 | Professional | Global | $26.92 | $38.02 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $6.61 | $10.47 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $28.18 | $52.48 |
Emblem Health Setting Professional Modifier Global Typical Low $38.02 Median $51.29 Typical High $77.62 | Professional | Global | $38.02 | $51.29 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $11.48 | $17.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $39.81 | $60.26 |
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 $38.90 Typical High $70.79 | Professional | Global | $22.39 | $38.90 | $70.79 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $7.08 | $9.77 | $17.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $15.14 | $29.51 | $54.95 |
Highmark BCBS Setting Facility Modifier Global Typical Low $100.00 Median $190.55 Typical High $295.12 | Facility | Global | $100.00 | $190.55 | $295.12 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $275.42 Typical High $426.58 | Facility | TC · Technical part | $144.54 | $275.42 | $426.58 |
Highmark BCBS Setting Professional Modifier Global Typical Low $37.15 Median $42.66 Typical High $50.12 | Professional | Global | $37.15 | $42.66 | $50.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $10.00 | $16.22 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $93.33 Typical High $104.71 | Professional | 50 · Both sides | $83.18 | $93.33 | $104.71 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $33.88 | $33.88 | $48.98 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $63.10 Median $89.13 Typical High $181.97 | Facility | Global | $63.10 | $89.13 | $181.97 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $186.21 | Facility | TC · Technical part | $57.54 | $83.18 | $186.21 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $38.90 Median $45.71 Typical High $50.12 | Professional | Global | $38.90 | $45.71 | $50.12 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $10.47 | $16.22 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $35.48 | $45.71 |
Martin's Point Setting Facility Modifier Global Typical Low $48.98 Median $181.97 Typical High $407.38 | Facility | Global | $48.98 | $181.97 | $407.38 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $27.54 | Facility | 26 · Professional part | $7.59 | $11.75 | $27.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $114.82 Typical High $436.52 | Facility | TC · Technical part | $28.84 | $114.82 | $436.52 |
Martin's Point Setting Professional Modifier Global Typical Low $10.47 Median $37.15 Typical High $79.43 | Professional | Global | $10.47 | $37.15 | $79.43 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.72 Typical High $26.30 | Professional | 26 · Professional part | $7.41 | $10.72 | $26.30 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $64.57 Typical High $91.20 | Professional | 50 · Both sides | $29.51 | $64.57 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $17.78 Typical High $36.31 | Professional | 52 · Reduced service | $14.79 | $17.78 | $36.31 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $31.62 | $60.26 |
Oscar Health Setting Facility Modifier Global Typical Low $1,047.13 Median $2,089.30 Typical High $2,137.96 | Facility | Global | $1,047.13 | $2,089.30 | $2,137.96 |
Oscar Health Setting Professional Modifier Global Typical Low $8.71 Median $32.36 Typical High $63.10 | Professional | Global | $8.71 | $32.36 | $63.10 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $46.77 Median $85.11 Typical High $125.89 | Facility | Global | $46.77 | $85.11 | $125.89 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $9.55 | Facility | 26 · Professional part | $8.32 | $9.55 | $9.55 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $26.92 | Facility | TC · Technical part | $20.42 | $20.42 | $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 $8.51 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $8.51 | $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 $81.28 | Professional | Global | $26.30 | $38.90 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $29.51 | Professional | 26 · Professional part | $7.24 | $10.23 | $29.51 |
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 2.6 times more in Wyoming than in Washington, DC. 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
$43.65
WY $93.33DC $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.