How much rates vary
Facilitymedian $331 · 10th to 90th $102 to $661Professionalmedian $138 · 10th to 90th $93 to $479
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 $102.33 Median $363.08 Typical High $676.08 | Facility | Global | $102.33 | $363.08 | $676.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $91.20 | Facility | 26 · Professional part | $24.55 | $41.69 | $91.20 |
Aetna Setting Professional Modifier Global Typical Low $93.33 Median $138.04 Typical High $501.19 | Professional | Global | $93.33 | $138.04 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $23.99 | $40.74 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $51.29 Typical High $81.28 | Professional | 52 · Reduced service | $42.66 | $51.29 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $416.87 | Professional | TC · Technical part | $69.18 | $95.50 | $416.87 |
Ambetter Setting Professional Modifier Global Typical Low $79.43 Median $102.33 Typical High $162.18 | Professional | Global | $79.43 | $102.33 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $38.90 | $44.67 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
AmeriHealth Setting Facility Modifier Global Typical Low $114.82 Median $4,168.69 Typical High $11,220.18 | Facility | Global | $114.82 | $4,168.69 | $11,220.18 |
AmeriHealth Setting Professional Modifier Global Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | Global | $147.91 | $147.91 | $190.55 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $33.88 | $44.67 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $112.20 | $144.54 |
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 Professional Modifier Global Typical Low $104.71 Median $138.04 Typical High $204.17 | Professional | Global | $104.71 | $138.04 | $204.17 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $35.48 | $64.57 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $102.33 | $154.88 |
Cigna Setting Facility Modifier Global Typical Low $100.00 Median $204.17 Typical High $281.84 | Facility | Global | $100.00 | $204.17 | $281.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $30.90 Typical High $44.67 | Facility | 26 · Professional part | $6.76 | $30.90 | $44.67 |
Cigna Setting Professional Modifier Global Typical Low $85.11 Median $123.03 Typical High $213.80 | Professional | Global | $85.11 | $123.03 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $21.38 | $33.11 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $93.33 | $162.18 |
Emblem Health Setting Professional Modifier Global Typical Low $112.20 Median $151.36 Typical High $186.21 | Professional | Global | $112.20 | $151.36 | $186.21 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $36.31 | $42.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $117.49 | $141.25 |
Geisinger Setting Facility Modifier Global Typical Low $83.18 Median $83.18 Typical High $870.96 | Facility | Global | $83.18 | $83.18 | $870.96 |
Geisinger Setting Professional Modifier Global Typical Low $72.44 Median $117.49 Typical High $204.17 | Professional | Global | $72.44 | $117.49 | $204.17 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $33.88 | $52.48 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $47.86 | $85.11 | $147.91 |
Highmark BCBS Setting Facility Modifier Global Typical Low $158.49 Median $275.42 Typical High $457.09 | Facility | Global | $158.49 | $275.42 | $457.09 |
Highmark BCBS Setting Professional Modifier Global Typical Low $114.82 Median $128.82 Typical High $151.36 | Professional | Global | $114.82 | $128.82 | $151.36 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $31.62 | $43.65 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $147.91 | $151.36 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $114.82 Median $5,370.32 Typical High $11,220.18 | Facility | Global | $114.82 | $5,370.32 | $11,220.18 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $112.20 Median $147.91 Typical High $173.78 | Professional | Global | $112.20 | $147.91 | $173.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $32.36 | $33.88 | $44.67 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $112.20 | $144.54 |
Martin's Point Setting Facility Modifier Global Typical Low $102.33 Median $323.59 Typical High $707.95 | Facility | Global | $102.33 | $323.59 | $707.95 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $89.13 | Facility | 26 · Professional part | $24.55 | $38.02 | $89.13 |
Martin's Point Setting Professional Modifier Global Typical Low $93.33 Median $128.82 Typical High $316.23 | Professional | Global | $93.33 | $128.82 | $316.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $85.11 | Professional | 26 · Professional part | $23.44 | $34.67 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $53.70 Typical High $109.65 | Professional | 52 · Reduced service | $46.77 | $53.70 | $109.65 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $69.18 | $93.33 | $213.80 |
Oscar Health Setting Facility Modifier Global Typical Low $165.96 Median $316.23 Typical High $446.68 | Facility | Global | $165.96 | $316.23 | $446.68 |
Oscar Health Setting Professional Modifier Global Typical Low $27.54 Median $89.13 Typical High $181.97 | Professional | Global | $27.54 | $89.13 | $181.97 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $154.88 Median $263.03 Typical High $338.84 | Facility | Global | $154.88 | $263.03 | $338.84 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $34.67 | Facility | 26 · Professional part | $26.92 | $34.67 | $34.67 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $104.71 Median $107.15 Typical High $117.49 | Professional | Global | $104.71 | $107.15 | $117.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $26.92 | $34.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $70.79 | $79.43 | $89.13 |
United Setting Facility Modifier Global Typical Low $144.54 Median $251.19 Typical High $346.74 | Facility | Global | $144.54 | $251.19 | $346.74 |
United Setting Professional Modifier Global Typical Low $83.18 Median $117.49 Typical High $229.09 | Professional | Global | $83.18 | $117.49 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $79.43 | Professional | 26 · Professional part | $22.91 | $31.62 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $91.20 | $177.83 |
Where Pennsylvania sits
The same service costs 4.3 times more in West Virginia 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· 12th of 51
$195
WV $457DC $107
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.