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 $52.48 Median $151.36 Typical High $338.84 | Facility | Global | $52.48 | $151.36 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $14.45 Typical High $27.54 | Facility | 26 · Professional part | $7.24 | $14.45 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $131.83 Typical High $407.38 | Facility | TC · Technical part | $26.92 | $131.83 | $407.38 |
Aetna Setting Professional Modifier Global Typical Low $8.13 Median $35.48 Typical High $67.61 | Professional | Global | $8.13 | $35.48 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.72 Typical High $29.51 | Professional | 26 · Professional part | $7.24 | $10.72 | $29.51 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $27.54 Median $74.13 Typical High $112.20 | Professional | 50 · Both sides | $27.54 | $74.13 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $15.14 Typical High $20.42 | Professional | 52 · Reduced service | $11.48 | $15.14 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $20.89 | $33.88 | $57.54 |
Ambetter Setting Professional Modifier Global Typical Low $22.91 Median $30.20 Typical High $50.12 | Professional | Global | $22.91 | $30.20 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $6.03 | $10.00 | $15.49 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | 50 · Both sides | $33.88 | $43.65 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $32.36 | Professional | TC · Technical part | $19.95 | $23.44 | $32.36 |
AmeriHealth Setting Facility Modifier Global Typical Low $31.62 Median $75.86 Typical High $177.83 | Facility | Global | $31.62 | $75.86 | $177.83 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $75.86 Typical High $870.96 | Facility | TC · Technical part | $31.62 | $75.86 | $870.96 |
AmeriHealth Setting Professional Modifier Global Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | Global | $33.11 | $33.11 | $45.71 |
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 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | TC · Technical part | $33.11 | $33.11 | $39.81 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $91.20 Median $5,011.87 Typical High $57,543.99 | Facility | Global | $91.20 | $5,011.87 | $57,543.99 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $186.21 | Facility | TC · Technical part | $91.20 | $128.82 | $186.21 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $38.02 Median $40.74 Typical High $63.10 | Professional | Global | $38.02 | $40.74 | $63.10 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $10.72 | $19.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $81.28 Typical High $125.89 | Professional | 50 · Both sides | $75.86 | $81.28 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $30.90 | $43.65 |
Cigna Setting Facility Modifier Global Typical Low $33.11 Median $74.13 Typical High $208.93 | Facility | Global | $33.11 | $74.13 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $24.55 Median $37.15 Typical High $63.10 | Professional | Global | $24.55 | $37.15 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $10.23 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $18.62 | $26.92 | $47.86 |
Emblem Health Setting Professional Modifier Global Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | Global | $35.48 | $46.77 | $70.79 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $8.13 | $10.96 | $17.38 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $26.92 | $35.48 | $53.70 |
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 $36.31 Typical High $67.61 | Professional | Global | $22.39 | $36.31 | $67.61 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $9.55 | $17.38 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $15.14 | $26.92 | $50.12 |
Highmark BCBS Setting Facility Modifier Global Typical Low $83.18 Median $186.21 Typical High $302.00 | Facility | Global | $83.18 | $186.21 | $302.00 |
Highmark BCBS Setting Facility Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $426.58 | Facility | TC · Technical part | $123.03 | $257.04 | $426.58 |
Highmark BCBS Setting Professional Modifier Global Typical Low $34.67 Median $39.81 Typical High $48.98 | Professional | Global | $34.67 | $39.81 | $48.98 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $9.77 | $16.22 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $83.18 Typical High $89.13 | Professional | 50 · Both sides | $64.57 | $83.18 | $89.13 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.37 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $31.62 | $37.15 | $46.77 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $58.88 Median $83.18 Typical High $186.21 | Facility | Global | $58.88 | $83.18 | $186.21 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $870.96 | Facility | TC · Technical part | $58.88 | $83.18 | $870.96 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $33.11 Median $36.31 Typical High $45.71 | Professional | Global | $33.11 | $36.31 | $45.71 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $10.00 | $16.22 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $39.81 | Professional | TC · Technical part | $30.90 | $33.11 | $39.81 |
Martin's Point Setting Facility Modifier Global Typical Low $46.77 Median $151.36 Typical High $354.81 | Facility | Global | $46.77 | $151.36 | $354.81 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $11.48 Typical High $27.54 | Facility | 26 · Professional part | $7.24 | $11.48 | $27.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $102.33 Typical High $446.68 | Facility | TC · Technical part | $26.92 | $102.33 | $446.68 |
Martin's Point Setting Professional Modifier Global Typical Low $8.91 Median $34.67 Typical High $70.79 | Professional | Global | $8.91 | $34.67 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $25.70 | Professional | 26 · Professional part | $7.24 | $10.23 | $25.70 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $27.54 Median $74.13 Typical High $112.20 | Professional | 50 · Both sides | $27.54 | $74.13 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.60 Typical High $33.88 | Professional | 52 · Reduced service | $13.80 | $16.60 | $33.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $56.23 | Professional | TC · Technical part | $21.38 | $28.18 | $56.23 |
Oscar Health Setting Facility Modifier Global Typical Low $138.04 Median $141.25 Typical High $194.98 | Facility | Global | $138.04 | $141.25 | $194.98 |
Oscar Health Setting Professional Modifier Global Typical Low $8.32 Median $29.51 Typical High $57.54 | Professional | Global | $8.32 | $29.51 | $57.54 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $56.23 Median $91.20 Typical High $123.03 | Facility | Global | $56.23 | $91.20 | $123.03 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $9.55 | Facility | 26 · Professional part | $7.94 | $7.94 | $9.55 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $25.12 | Facility | TC · Technical part | $20.42 | $20.42 | $25.12 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $29.51 Median $32.36 Typical High $35.48 | Professional | Global | $29.51 | $32.36 | $35.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $9.55 | Professional | 26 · Professional part | $7.76 | $7.94 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $27.54 | Professional | TC · Technical part | $20.42 | $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 $36.31 Typical High $72.44 | Professional | Global | $25.70 | $36.31 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $23.44 | Professional | 26 · Professional part | $7.24 | $9.77 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $27.54 Typical High $60.26 | Professional | TC · Technical part | $19.05 | $27.54 | $60.26 |
Where Pennsylvania sits
The same service costs 2.1 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· 29th of 51
$39.81
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.