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 $37.15 Median $199.53 Typical High $288.40 | Facility | Global | $37.15 | $199.53 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $13.18 Typical High $25.12 | Facility | 26 · Professional part | $6.61 | $13.18 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $72.44 Typical High $331.13 | Facility | TC · Technical part | $21.38 | $72.44 | $331.13 |
Aetna Setting Professional Modifier Global Typical Low $11.75 Median $28.84 Typical High $69.18 | Professional | Global | $11.75 | $28.84 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $6.46 | $10.96 | $22.91 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $38.90 Typical High $75.86 | Professional | 50 · Both sides | $37.15 | $38.90 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $12.59 Typical High $87.10 | Professional | 52 · Reduced service | $10.47 | $12.59 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.38 Typical High $48.98 | Professional | TC · Technical part | $15.49 | $21.38 | $48.98 |
Ambetter Setting Professional Modifier Global Typical Low $19.05 Median $22.91 Typical High $28.84 | Professional | Global | $19.05 | $22.91 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $5.25 | $9.33 | $12.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 50 · Both sides | $28.84 | $28.84 | $34.67 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $19.50 | Professional | TC · Technical part | $15.85 | $18.62 | $19.50 |
AmeriHealth Setting Facility Modifier Global Typical Low $28.84 Median $67.61 Typical High $2,089.30 | Facility | Global | $28.84 | $67.61 | $2,089.30 |
AmeriHealth Setting Professional Modifier Global Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | Global | $35.48 | $35.48 | $45.71 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $11.75 | Professional | 26 · Professional part | $9.12 | $9.12 | $11.75 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $112.20 Median $123.03 Typical High $57,543.99 | Facility | Global | $112.20 | $123.03 | $57,543.99 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $154.88 | Facility | TC · Technical part | $75.86 | $107.15 | $154.88 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | Global | $27.54 | $32.36 | $58.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $9.77 | $18.62 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $54.95 Median $64.57 Typical High $117.49 | Professional | 50 · Both sides | $54.95 | $64.57 | $117.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $22.91 | $40.74 |
Cigna Setting Facility Modifier Global Typical Low $26.92 Median $57.54 Typical High $208.93 | Facility | Global | $26.92 | $57.54 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $21.88 Median $32.36 Typical High $53.70 | Professional | Global | $21.88 | $32.36 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $9.33 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.44 Typical High $39.81 | Professional | TC · Technical part | $15.14 | $23.44 | $39.81 |
Emblem Health Setting Professional Modifier Global Typical Low $29.51 Median $39.81 Typical High $51.29 | Professional | Global | $29.51 | $39.81 | $51.29 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $7.76 | $10.47 | $14.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $28.84 | $37.15 |
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 $30.90 Typical High $57.54 | Professional | Global | $20.42 | $30.90 | $57.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $8.91 | $16.60 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $13.80 | $22.39 | $42.66 |
Highmark BCBS Setting Facility Modifier Global Typical Low $81.28 Median $186.21 Typical High $302.00 | Facility | Global | $81.28 | $186.21 | $302.00 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $524.81 | Facility | TC · Technical part | $123.03 | $173.78 | $524.81 |
Highmark BCBS Setting Professional Modifier Global Typical Low $30.90 Median $33.88 Typical High $35.48 | Professional | Global | $30.90 | $33.88 | $35.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $18.20 | Professional | 26 · Professional part | $7.41 | $8.91 | $18.20 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $69.18 Median $72.44 Typical High $81.28 | Professional | 50 · Both sides | $69.18 | $72.44 | $81.28 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $15.14 | $25.70 | $36.31 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $52.48 Median $75.86 Typical High $1,071.52 | Facility | Global | $52.48 | $75.86 | $1,071.52 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $28.84 Median $35.48 Typical High $60.26 | Professional | Global | $28.84 | $35.48 | $60.26 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $9.12 | $14.79 |
Martin's Point Setting Facility Modifier Global Typical Low $33.88 Median $194.98 Typical High $354.81 | Facility | Global | $33.88 | $194.98 | $354.81 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $11.48 Typical High $25.12 | Facility | 26 · Professional part | $6.61 | $11.48 | $25.12 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $67.61 Typical High $371.54 | Facility | TC · Technical part | $18.62 | $67.61 | $371.54 |
Martin's Point Setting Professional Modifier Global Typical Low $15.85 Median $28.18 Typical High $66.07 | Professional | Global | $15.85 | $28.18 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $21.38 | Professional | 26 · Professional part | $6.46 | $9.33 | $21.38 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $24.55 Median $38.90 Typical High $75.86 | Professional | 50 · Both sides | $24.55 | $38.90 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $13.80 Typical High $33.88 | Professional | 52 · Reduced service | $11.48 | $13.80 | $33.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $21.38 | $45.71 |
Oscar Health Setting Facility Modifier Global Typical Low $134.90 Median $141.25 Typical High $186.21 | Facility | Global | $134.90 | $141.25 | $186.21 |
Oscar Health Setting Professional Modifier Global Typical Low $7.94 Median $23.44 Typical High $48.98 | Professional | Global | $7.94 | $23.44 | $48.98 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $51.29 Median $87.10 Typical High $112.20 | Facility | Global | $51.29 | $87.10 | $112.20 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $8.51 | Facility | 26 · Professional part | $7.24 | $7.24 | $8.51 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.95 | Facility | TC · Technical part | $19.50 | $19.50 | $19.95 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | Global | $26.92 | $26.92 | $29.51 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.41 Typical High $8.51 | Professional | 26 · Professional part | $7.08 | $7.41 | $8.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.95 Typical High $21.88 | Professional | TC · Technical part | $19.50 | $19.95 | $21.88 |
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 $22.91 Median $30.90 Typical High $61.66 | Professional | Global | $22.91 | $30.90 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $39.81 | Professional | 26 · Professional part | $6.61 | $8.91 | $39.81 |
United Setting Professional Modifier 50 · Both sides Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 50 · Both sides | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $16.22 | $22.39 | $45.71 |
Where Pennsylvania sits
The same service costs 2.5 times more in Alaska 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· 19th 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.