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 $85.11 Median $107.15 Typical High $562.34 | Facility | Global | $85.11 | $107.15 | $562.34 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $58.88 | Facility | 26 · Professional part | $19.95 | $19.95 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $190.55 Typical High $776.25 | Facility | TC · Technical part | $16.22 | $190.55 | $776.25 |
Aetna Setting Professional Modifier Global Typical Low $35.48 Median $72.44 Typical High $138.04 | Professional | Global | $35.48 | $72.44 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $18.62 | $27.54 | $60.26 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $50.12 Typical High $288.40 | Professional | 50 · Both sides | $50.12 | $50.12 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.50 Typical High $44.67 | Professional | 52 · Reduced service | $15.49 | $19.50 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $22.91 Typical High $97.72 | Professional | TC · Technical part | $14.13 | $22.91 | $97.72 |
Ambetter Setting Professional Modifier Global Typical Low $31.62 Median $35.48 Typical High $46.77 | Professional | Global | $31.62 | $35.48 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.49 Typical High $25.12 | Professional | TC · Technical part | $13.49 | $15.49 | $25.12 |
AmeriHealth Setting Facility Modifier Global Typical Low $45.71 Median $109.65 Typical High $1,778.28 | Facility | Global | $45.71 | $109.65 | $1,778.28 |
AmeriHealth Setting Professional Modifier Global Typical Low $42.66 Median $61.66 Typical High $70.79 | Professional | Global | $42.66 | $61.66 | $70.79 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $38.02 Median $52.48 Typical High $123.03 | Professional | Global | $38.02 | $52.48 | $123.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $23.44 | $45.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $81.28 | Professional | TC · Technical part | $16.60 | $23.99 | $81.28 |
Cigna Setting Professional Modifier Global Typical Low $35.48 Median $77.62 Typical High $123.03 | Professional | Global | $35.48 | $77.62 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $26.92 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $15.49 | $50.12 | $77.62 |
Emblem Health Setting Professional Modifier Global Typical Low $38.90 Median $52.48 Typical High $77.62 | Professional | Global | $38.90 | $52.48 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $28.84 | $43.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $24.55 | $33.88 |
Geisinger Setting Facility Modifier Global Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | Global | $69.18 | $69.18 | $69.18 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
Geisinger Setting Professional Modifier Global Typical Low $35.48 Median $58.88 Typical High $93.33 | Professional | Global | $35.48 | $58.88 | $93.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $26.92 | $43.65 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $25.70 Typical High $53.70 | Professional | TC · Technical part | $15.49 | $25.70 | $53.70 |
Highmark BCBS Setting Facility Modifier Global Typical Low $245.47 Median $316.23 Typical High $588.84 | Facility | Global | $245.47 | $316.23 | $588.84 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | TC · Technical part | $186.21 | $186.21 | $186.21 |
Highmark BCBS Setting Professional Modifier Global Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | Global | $186.21 | $186.21 | $186.21 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $25.12 | $33.88 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $85.11 Median $120.23 Typical High $263.03 | Facility | Global | $85.11 | $120.23 | $263.03 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | Global | $61.66 | $61.66 | $67.61 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $102.33 | Professional | TC · Technical part | $38.90 | $40.74 | $102.33 |
Martin's Point Setting Facility Modifier Global Typical Low $85.11 Median $199.53 Typical High $575.44 | Facility | Global | $85.11 | $199.53 | $575.44 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $36.31 Typical High $58.88 | Facility | 26 · Professional part | $19.95 | $36.31 | $58.88 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $190.55 Typical High $776.25 | Facility | TC · Technical part | $16.22 | $190.55 | $776.25 |
Martin's Point Setting Professional Modifier Global Typical Low $33.88 Median $70.79 Typical High $138.04 | Professional | Global | $33.88 | $70.79 | $138.04 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $56.23 | Professional | 26 · Professional part | $18.62 | $25.12 | $56.23 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $50.12 Typical High $288.40 | Professional | 50 · Both sides | $50.12 | $50.12 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.95 Typical High $44.67 | Professional | 52 · Reduced service | $15.49 | $19.95 | $44.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $23.44 Typical High $91.20 | Professional | TC · Technical part | $14.13 | $23.44 | $91.20 |
Oscar Health Setting Facility Modifier Global Typical Low $204.17 Median $213.80 Typical High $281.84 | Facility | Global | $204.17 | $213.80 | $281.84 |
Oscar Health Setting Professional Modifier Global Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | Global | $47.86 | $50.12 | $50.12 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $43.65 Median $77.62 Typical High $123.03 | Facility | Global | $43.65 | $77.62 | $123.03 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $23.99 | Facility | 26 · Professional part | $20.42 | $20.42 | $23.99 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $52.48 | Facility | TC · Technical part | $15.49 | $15.49 | $52.48 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $35.48 Median $36.31 Typical High $77.62 | Professional | Global | $35.48 | $36.31 | $77.62 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $19.95 | $20.42 | $23.99 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.49 Typical High $52.48 | Professional | TC · Technical part | $15.14 | $15.49 | $52.48 |
United Setting Facility Modifier Global Typical Low $181.97 Median $316.23 Typical High $446.68 | Facility | Global | $181.97 | $316.23 | $446.68 |
United Setting Professional Modifier Global Typical Low $37.15 Median $57.54 Typical High $100.00 | Professional | Global | $37.15 | $57.54 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $18.62 | $25.12 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $61.66 | Professional | TC · Technical part | $18.20 | $28.18 | $61.66 |
Where Pennsylvania sits
The same service costs 2.5 times more in Alaska 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· 17th of 51
$72.44
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.