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 $95.50 Median $338.84 Typical High $724.44 | Facility | Global | $95.50 | $338.84 | $724.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $43.65 Typical High $95.50 | Facility | 26 · Professional part | $25.12 | $43.65 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $208.93 Typical High $977.24 | Facility | TC · Technical part | $67.61 | $208.93 | $977.24 |
Aetna Setting Professional Modifier Global Typical Low $75.86 Median $117.49 Typical High $501.19 | Professional | Global | $75.86 | $117.49 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $107.15 | Professional | 26 · Professional part | $23.99 | $37.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $48.98 | $70.79 | $158.49 |
Ambetter Setting Professional Modifier Global Typical Low $51.29 Median $69.18 Typical High $162.18 | Professional | Global | $51.29 | $69.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $38.02 | $46.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $64.57 | $89.13 |
AmeriHealth Setting Facility Modifier Global Typical Low $100.00 Median $213.80 Typical High $2,137.96 | Facility | Global | $100.00 | $213.80 | $2,137.96 |
AmeriHealth Setting Professional Modifier Global Typical Low $89.13 Median $114.82 Typical High $199.53 | Professional | Global | $89.13 | $114.82 | $199.53 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $33.11 | $46.77 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $52.48 | Professional | TC · Technical part | $34.67 | $39.81 | $52.48 |
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 $316.23 Median $446.68 Typical High $630.96 | Facility | TC · Technical part | $316.23 | $446.68 | $630.96 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $83.18 Median $117.49 Typical High $186.21 | Professional | Global | $83.18 | $117.49 | $186.21 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $37.15 | $67.61 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $87.10 | $120.23 |
Cigna Setting Facility Modifier Global Typical Low $72.44 Median $165.96 Typical High $275.42 | Facility | Global | $72.44 | $165.96 | $275.42 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $32.36 Typical High $46.77 | Facility | 26 · Professional part | $6.92 | $32.36 | $46.77 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $64.57 Typical High $91.20 | Facility | TC · Technical part | $13.80 | $64.57 | $91.20 |
Cigna Setting Professional Modifier Global Typical Low $69.18 Median $107.15 Typical High $181.97 | Professional | Global | $69.18 | $107.15 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $33.88 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $74.13 | $125.89 |
Emblem Health Setting Professional Modifier Global Typical Low $89.13 Median $120.23 Typical High $144.54 | Professional | Global | $89.13 | $120.23 | $144.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $37.15 | $44.67 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $61.66 | $83.18 | $102.33 |
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 Facility Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $870.96 | Facility | TC · Technical part | $83.18 | $83.18 | $870.96 |
Geisinger Setting Professional Modifier Global Typical Low $72.44 Median $104.71 Typical High $173.78 | Professional | Global | $72.44 | $104.71 | $173.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $35.48 | $54.95 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $45.71 | $70.79 | $117.49 |
Highmark BCBS Setting Facility Modifier Global Typical Low $158.49 Median $275.42 Typical High $467.74 | Facility | Global | $158.49 | $275.42 | $467.74 |
Highmark BCBS Setting Facility Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $213.80 | Facility | 26 · Professional part | $190.55 | $190.55 | $213.80 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $380.19 Typical High $630.96 | Facility | TC · Technical part | $162.18 | $380.19 | $630.96 |
Highmark BCBS Setting Professional Modifier Global Typical Low $93.33 Median $102.33 Typical High $134.90 | Professional | Global | $93.33 | $102.33 | $134.90 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $33.88 | $48.98 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $74.13 | $104.71 | $109.65 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $112.20 Median $218.78 Typical High $512.86 | Facility | Global | $112.20 | $218.78 | $512.86 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $269.15 Typical High $870.96 | Facility | TC · Technical part | $181.97 | $269.15 | $870.96 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $81.28 Median $114.82 Typical High $186.21 | Professional | Global | $81.28 | $114.82 | $186.21 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $33.88 | $44.67 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $51.29 Typical High $933.25 | Professional | TC · Technical part | $19.95 | $51.29 | $933.25 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | Global | $141.25 | $141.25 | $141.25 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | Global | $141.25 | $141.25 | $141.25 |
Martin's Point Setting Facility Modifier Global Typical Low $97.72 Median $323.59 Typical High $812.83 | Facility | Global | $97.72 | $323.59 | $812.83 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $41.69 Typical High $95.50 | Facility | 26 · Professional part | $25.12 | $41.69 | $95.50 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $223.87 Typical High $977.24 | Facility | TC · Technical part | $67.61 | $223.87 | $977.24 |
Martin's Point Setting Professional Modifier Global Typical Low $74.13 Median $107.15 Typical High $363.08 | Professional | Global | $74.13 | $107.15 | $363.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $100.00 | Professional | 26 · Professional part | $23.99 | $35.48 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $48.98 | $69.18 | $154.88 |
Oscar Health Setting Facility Modifier Global Typical Low $162.18 Median $169.82 Typical High $223.87 | Facility | Global | $162.18 | $169.82 | $223.87 |
Oscar Health Setting Professional Modifier Global Typical Low $28.18 Median $64.57 Typical High $144.54 | Professional | Global | $28.18 | $64.57 | $144.54 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $147.91 Median $251.19 Typical High $323.59 | Facility | Global | $147.91 | $251.19 | $323.59 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $31.62 | Facility | 26 · Professional part | $27.54 | $27.54 | $31.62 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $70.79 | Facility | TC · Technical part | $57.54 | $57.54 | $70.79 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $83.18 Median $85.11 Typical High $102.33 | Professional | Global | $83.18 | $85.11 | $102.33 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $28.18 | $31.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $70.79 | Professional | TC · Technical part | $56.23 | $57.54 | $70.79 |
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 $72.44 Median $100.00 Typical High $204.17 | Professional | Global | $72.44 | $100.00 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $23.99 | $33.11 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $48.98 | $69.18 | $125.89 |
Where Pennsylvania sits
The same service costs 5.9 times more in South Dakota 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· 11th of 51
$195
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.