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 $102.33 Median $371.54 Typical High $870.96 | Facility | Global | $102.33 | $371.54 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $120.23 | Facility | 26 · Professional part | $31.62 | $53.70 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $257.04 Typical High $1,122.02 | Facility | TC · Technical part | $75.86 | $257.04 | $1,122.02 |
Aetna Setting Professional Modifier Global Typical Low $89.13 Median $144.54 Typical High $616.60 | Professional | Global | $89.13 | $144.54 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $131.83 | Professional | 26 · Professional part | $30.90 | $44.67 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $50.12 Typical High $77.62 | Professional | 52 · Reduced service | $41.69 | $50.12 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $83.18 | $190.55 |
Ambetter Setting Professional Modifier Global Typical Low $79.43 Median $93.33 Typical High $158.49 | Professional | Global | $79.43 | $93.33 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $50.12 | $57.54 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
AmeriHealth Setting Facility Modifier Global Typical Low $61.66 Median $147.91 Typical High $794.33 | Facility | Global | $61.66 | $147.91 | $794.33 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $1,318.26 Typical High $3,548.13 | Facility | TC · Technical part | $154.88 | $1,318.26 | $3,548.13 |
AmeriHealth Setting Professional Modifier Global Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | Global | $141.25 | $141.25 | $186.21 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $43.65 | $56.23 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $97.72 | $117.49 |
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 $398.11 Median $562.34 Typical High $812.83 | Facility | TC · Technical part | $398.11 | $562.34 | $812.83 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $104.71 Median $177.83 Typical High $263.03 | Professional | Global | $104.71 | $177.83 | $263.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $46.77 | $85.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $97.72 | $165.96 |
Cigna Setting Facility Modifier Global Typical Low $87.10 Median $199.53 Typical High $275.42 | Facility | Global | $87.10 | $199.53 | $275.42 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $40.74 Typical High $57.54 | Facility | 26 · Professional part | $8.71 | $40.74 | $57.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $79.43 Typical High $112.20 | Facility | TC · Technical part | $16.98 | $79.43 | $112.20 |
Cigna Setting Professional Modifier Global Typical Low $87.10 Median $134.90 Typical High $223.87 | Professional | Global | $87.10 | $134.90 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $42.66 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $93.33 | $154.88 |
Emblem Health Setting Professional Modifier Global Typical Low $109.65 Median $147.91 Typical High $181.97 | Professional | Global | $109.65 | $147.91 | $181.97 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $46.77 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $102.33 | $125.89 |
Geisinger Setting Facility Modifier Global Typical Low $117.49 Median $117.49 Typical High $870.96 | Facility | Global | $117.49 | $117.49 | $870.96 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $870.96 | Facility | TC · Technical part | $117.49 | $117.49 | $870.96 |
Geisinger Setting Professional Modifier Global Typical Low $95.50 Median $138.04 Typical High $218.78 | Professional | Global | $95.50 | $138.04 | $218.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $43.65 | $69.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $93.33 | $144.54 |
Highmark BCBS Setting Facility Modifier Global Typical Low $158.49 Median $281.84 Typical High $524.81 | Facility | Global | $158.49 | $281.84 | $524.81 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $389.05 Typical High $645.65 | Facility | TC · Technical part | $204.17 | $389.05 | $645.65 |
Highmark BCBS Setting Professional Modifier Global Typical Low $114.82 Median $125.89 Typical High $141.25 | Professional | Global | $114.82 | $125.89 | $141.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $42.66 | $60.26 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $128.82 | $134.90 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $74.13 Median $239.88 Typical High $3,235.94 | Facility | Global | $74.13 | $239.88 | $3,235.94 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $2,089.30 Typical High $3,548.13 | Facility | TC · Technical part | $275.42 | $2,089.30 | $3,548.13 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | Global | $141.25 | $141.25 | $186.21 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $43.65 | $56.23 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $97.72 | $125.89 |
Martin's Point Setting Facility Modifier Global Typical Low $102.33 Median $346.74 Typical High $870.96 | Facility | Global | $102.33 | $346.74 | $870.96 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $114.82 | Facility | 26 · Professional part | $31.62 | $48.98 | $114.82 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $281.84 Typical High $1,258.93 | Facility | TC · Technical part | $75.86 | $281.84 | $1,258.93 |
Martin's Point Setting Professional Modifier Global Typical Low $91.20 Median $131.83 Typical High $346.74 | Professional | Global | $91.20 | $131.83 | $346.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $114.82 | Professional | 26 · Professional part | $30.20 | $40.74 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $100.00 | Professional | 52 · Reduced service | $44.67 | $52.48 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $83.18 | $186.21 |
Oscar Health Setting Professional Modifier Global Typical Low $35.48 Median $79.43 Typical High $181.97 | Professional | Global | $35.48 | $79.43 | $181.97 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $194.98 Median $269.15 Typical High $457.09 | Facility | Global | $194.98 | $269.15 | $457.09 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $39.81 | Facility | 26 · Professional part | $34.67 | $34.67 | $39.81 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | TC · Technical part | $70.79 | $70.79 | $70.79 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | Global | $104.71 | $104.71 | $112.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $34.67 | $34.67 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | TC · Technical part | $69.18 | $70.79 | $77.62 |
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 $93.33 Median $123.03 Typical High $229.09 | Professional | Global | $93.33 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $89.13 | Professional | 26 · Professional part | $29.51 | $41.69 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $85.11 | $154.88 |
Where Pennsylvania sits
The same service costs 3.2 times more in Wisconsin 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· 9th 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.