How much rates vary
Facilitymedian $525 · 10th to 90th $141 to $1,122Professionalmedian $170 · 10th to 90th $112 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 $141.25 Median $524.81 Typical High $1,023.29 | Facility | Global | $141.25 | $524.81 | $1,023.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $79.43 | Facility | 26 · Professional part | $21.38 | $31.62 | $79.43 |
Aetna Setting Professional Modifier Global Typical Low $112.20 Median $173.78 Typical High $645.65 | Professional | Global | $112.20 | $173.78 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $63.10 | Professional | 26 · Professional part | $19.95 | $28.18 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $66.07 Typical High $107.15 | Professional | 52 · Reduced service | $58.88 | $66.07 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $117.49 | $234.42 |
Ambetter Setting Professional Modifier Global Typical Low $89.13 Median $104.71 Typical High $239.88 | Professional | Global | $89.13 | $104.71 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $31.62 | $40.74 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
AmeriHealth Setting Facility Modifier Global Typical Low $416.87 Median $776.25 Typical High $10,000.00 | Facility | Global | $416.87 | $776.25 | $10,000.00 |
AmeriHealth Setting Professional Modifier Global Typical Low $104.71 Median $141.25 Typical High $158.49 | Professional | Global | $104.71 | $141.25 | $158.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $467.74 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $467.74 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $125.89 Median $162.18 Typical High $257.04 | Professional | Global | $125.89 | $162.18 | $257.04 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $28.18 | $45.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $131.83 | $208.93 |
Cigna Setting Facility Modifier Global Typical Low $128.82 Median $281.84 Typical High $398.11 | Facility | Global | $128.82 | $281.84 | $398.11 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $25.12 Typical High $36.31 | Facility | 26 · Professional part | $5.37 | $25.12 | $36.31 |
Cigna Setting Professional Modifier Global Typical Low $120.23 Median $186.21 Typical High $295.12 | Professional | Global | $120.23 | $186.21 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $26.92 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $102.33 | $162.18 | $245.47 |
Emblem Health Setting Professional Modifier Global Typical Low $162.18 Median $199.53 Typical High $239.88 | Professional | Global | $162.18 | $199.53 | $239.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $31.62 | $37.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $169.82 | $199.53 |
Geisinger Setting Facility Modifier Global Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | Global | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier Global Typical Low $131.83 Median $177.83 Typical High $269.15 | Professional | Global | $131.83 | $177.83 | $269.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $28.18 | $41.69 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $154.88 | $229.09 |
Highmark BCBS Setting Facility Modifier Global Typical Low $251.19 Median $416.87 Typical High $758.58 | Facility | Global | $251.19 | $416.87 | $758.58 |
Highmark BCBS Setting Professional Modifier Global Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | Global | $169.82 | $169.82 | $190.55 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $22.91 | $36.31 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $281.84 Median $831.76 Typical High $4,570.88 | Facility | Global | $281.84 | $831.76 | $4,570.88 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $104.71 Median $141.25 Typical High $158.49 | Professional | Global | $104.71 | $141.25 | $158.49 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
Martin's Point Setting Facility Modifier Global Typical Low $158.49 Median $489.78 Typical High $1,000.00 | Facility | Global | $158.49 | $489.78 | $1,000.00 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $72.44 | Facility | 26 · Professional part | $21.38 | $31.62 | $72.44 |
Martin's Point Setting Professional Modifier Global Typical Low $120.23 Median $169.82 Typical High $416.87 | Professional | Global | $120.23 | $169.82 | $416.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $26.92 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $66.07 Typical High $109.65 | Professional | 52 · Reduced service | $57.54 | $66.07 | $109.65 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $134.90 | $257.04 |
Oscar Health Setting Professional Modifier Global Typical Low $23.99 Median $128.82 Typical High $269.15 | Professional | Global | $23.99 | $128.82 | $269.15 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $181.97 Median $281.84 Typical High $457.09 | Facility | Global | $181.97 | $281.84 | $457.09 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $34.67 | Facility | 26 · Professional part | $21.38 | $21.38 | $34.67 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $120.23 Median $123.03 Typical High $181.97 | Professional | Global | $120.23 | $123.03 | $181.97 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $21.38 | $34.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $102.33 | $147.91 |
United Setting Facility Modifier Global Typical Low $295.12 Median $524.81 Typical High $724.44 | Facility | Global | $295.12 | $524.81 | $724.44 |
United Setting Professional Modifier Global Typical Low $117.49 Median $158.49 Typical High $281.84 | Professional | Global | $117.49 | $158.49 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $134.90 | $251.19 |
Where Pennsylvania sits
The same service costs 2.8 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· 14th of 51
$204
WV $389AL $141
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.