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 $77.62 Median $194.98 Typical High $478.63 | Facility | Global | $77.62 | $194.98 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $112.20 | Facility | 26 · Professional part | $28.84 | $50.12 | $112.20 |
Aetna Setting Professional Modifier Global Typical Low $41.69 Median $85.11 Typical High $309.03 | Professional | Global | $41.69 | $85.11 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $123.03 | Professional | 26 · Professional part | $28.18 | $47.86 | $123.03 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $457.09 Typical High $691.83 | Professional | 50 · Both sides | $63.10 | $457.09 | $691.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $52.48 | $87.10 |
Ambetter Setting Professional Modifier Global Typical Low $63.10 Median $66.07 Typical High $91.20 | Professional | Global | $63.10 | $66.07 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $45.71 | $61.66 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | 50 · Both sides | $97.72 | $100.00 | $109.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | TC · Technical part | $77.62 | $77.62 | $79.43 |
AmeriHealth Setting Facility Modifier Global Typical Low $112.20 Median $2,137.96 Typical High $4,570.88 | Facility | Global | $112.20 | $2,137.96 | $4,570.88 |
AmeriHealth Setting Professional Modifier Global Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | Global | $91.20 | $91.20 | $117.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $33.88 | $45.71 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $57.54 | $74.13 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $354.81 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $354.81 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $91.20 Median $107.15 Typical High $158.49 | Professional | Global | $91.20 | $107.15 | $158.49 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $41.69 | $64.57 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $158.49 Typical High $239.88 | Professional | 50 · Both sides | $134.90 | $158.49 | $239.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $63.10 | $95.50 |
Cigna Setting Facility Modifier Global Typical Low $64.57 Median $141.25 Typical High $223.87 | Facility | Global | $64.57 | $141.25 | $223.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $37.15 Typical High $53.70 | Facility | 26 · Professional part | $7.94 | $37.15 | $53.70 |
Cigna Setting Professional Modifier Global Typical Low $67.61 Median $104.71 Typical High $162.18 | Professional | Global | $67.61 | $104.71 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $40.74 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $41.69 | $64.57 | $100.00 |
Emblem Health Setting Professional Modifier Global Typical Low $85.11 Median $117.49 Typical High $141.25 | Professional | Global | $85.11 | $117.49 | $141.25 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $42.66 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $74.13 | $89.13 |
Geisinger Setting Professional Modifier Global Typical Low $70.79 Median $100.00 Typical High $151.36 | Professional | Global | $70.79 | $100.00 | $151.36 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $38.90 | $58.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $60.26 | $93.33 |
Highmark BCBS Setting Facility Modifier Global Typical Low $79.43 Median $194.98 Typical High $346.74 | Facility | Global | $79.43 | $194.98 | $346.74 |
Highmark BCBS Setting Professional Modifier Global Typical Low $89.13 Median $95.50 Typical High $112.20 | Professional | Global | $89.13 | $95.50 | $112.20 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $38.90 | $57.54 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $134.90 Typical High $169.82 | Professional | 50 · Both sides | $57.54 | $134.90 | $169.82 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $67.61 | $95.50 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $123.03 Median $194.98 Typical High $1,905.46 | Facility | Global | $123.03 | $194.98 | $1,905.46 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | Global | $91.20 | $91.20 | $120.23 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $58.88 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $323.59 | Professional | TC · Technical part | $60.26 | $75.86 | $323.59 |
Martin's Point Setting Facility Modifier Global Typical Low $83.18 Median $204.17 Typical High $478.63 | Facility | Global | $83.18 | $204.17 | $478.63 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $47.86 Typical High $112.20 | Facility | 26 · Professional part | $28.84 | $47.86 | $112.20 |
Martin's Point Setting Professional Modifier Global Typical Low $50.12 Median $87.10 Typical High $229.09 | Professional | Global | $50.12 | $87.10 | $229.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $40.74 | $93.33 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $524.81 Typical High $724.44 | Professional | 50 · Both sides | $64.57 | $524.81 | $724.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $42.66 | $53.70 | $120.23 |
Oscar Health Setting Facility Modifier Global Typical Low $323.59 Median $338.84 Typical High $457.09 | Facility | Global | $323.59 | $338.84 | $457.09 |
Oscar Health Setting Professional Modifier Global Typical Low $33.11 Median $63.10 Typical High $141.25 | Professional | Global | $33.11 | $63.10 | $141.25 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $91.20 Median $125.89 Typical High $223.87 | Facility | Global | $91.20 | $125.89 | $223.87 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $38.02 | Facility | 26 · Professional part | $32.36 | $32.36 | $38.02 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $81.28 Median $83.18 Typical High $93.33 | Professional | Global | $81.28 | $83.18 | $93.33 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $31.62 | $32.36 | $38.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $48.98 | $50.12 | $56.23 |
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 $70.79 Median $95.50 Typical High $177.83 | Professional | Global | $70.79 | $95.50 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $27.54 | $38.02 | $89.13 |
United Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 50 · Both sides | $123.03 | $123.03 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $42.66 | $58.88 | $109.65 |
Where Pennsylvania sits
The same service costs 3.5 times more in West Virginia than in Alabama. 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· 44th of 51
$93.33
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.