How much rates vary
Facilitymedian $513 · 10th to 90th $162 to $1,288Professionalmedian $182 · 10th to 90th $148 to $339
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 $162.18 Median $524.81 Typical High $1,288.25 | Facility | Global | $162.18 | $524.81 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $125.89 | Facility | 26 · Professional part | $41.69 | $50.12 | $125.89 |
Aetna Setting Professional Modifier Global Typical Low $147.91 Median $181.97 Typical High $338.84 | Professional | Global | $147.91 | $181.97 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $147.91 | Professional | 26 · Professional part | $38.02 | $47.86 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $3,801.89 | Professional | 52 · Reduced service | $562.34 | $562.34 | $3,801.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $123.03 | $190.55 |
Ambetter Setting Professional Modifier Global Typical Low $109.65 Median $128.82 Typical High $177.83 | Professional | Global | $109.65 | $128.82 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $41.69 | $61.66 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $100.00 | $154.88 |
AmeriHealth Setting Facility Modifier Global Typical Low $151.36 Median $288.40 Typical High $3,467.37 | Facility | Global | $151.36 | $288.40 | $3,467.37 |
AmeriHealth Setting Professional Modifier Global Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | Global | $173.78 | $173.78 | $186.21 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | 26 · Professional part | $41.69 | $41.69 | $44.67 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $134.90 | $144.54 |
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 $125.89 Median $128.82 Typical High $354.81 | Professional | Global | $125.89 | $128.82 | $354.81 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $39.81 | $102.33 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $89.13 | $251.19 |
Cigna Setting Facility Modifier Global Typical Low $144.54 Median $229.09 Typical High $281.84 | Facility | Global | $144.54 | $229.09 | $281.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $45.71 Typical High $66.07 | Facility | 26 · Professional part | $9.77 | $45.71 | $66.07 |
Cigna Setting Professional Modifier Global Typical Low $128.82 Median $234.42 Typical High $363.08 | Professional | Global | $128.82 | $234.42 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $67.61 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $169.82 | $251.19 |
Emblem Health Setting Professional Modifier Global Typical Low $147.91 Median $218.78 Typical High $295.12 | Professional | Global | $147.91 | $218.78 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $57.54 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $162.18 | $213.80 |
Geisinger Setting Professional Modifier Global Typical Low $138.04 Median $199.53 Typical High $316.23 | Professional | Global | $138.04 | $199.53 | $316.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $56.23 | $89.13 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $141.25 | $229.09 |
Highmark BCBS Setting Facility Modifier Global Typical Low $190.55 Median $426.58 Typical High $870.96 | Facility | Global | $190.55 | $426.58 | $870.96 |
Highmark BCBS Setting Professional Modifier Global Typical Low $144.54 Median $144.54 Typical High $288.40 | Professional | Global | $144.54 | $144.54 | $288.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $43.65 | $54.95 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $21.38 | $72.44 | $72.44 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $151.36 Median $323.59 Typical High $3,467.37 | Facility | Global | $151.36 | $323.59 | $3,467.37 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | Global | $173.78 | $173.78 | $186.21 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $47.86 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $134.90 | $144.54 |
Martin's Point Setting Facility Modifier Global Typical Low $162.18 Median $537.03 Typical High $1,288.25 | Facility | Global | $162.18 | $537.03 | $1,288.25 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $125.89 | Facility | 26 · Professional part | $41.69 | $66.07 | $125.89 |
Martin's Point Setting Professional Modifier Global Typical Low $151.36 Median $199.53 Typical High $346.74 | Professional | Global | $151.36 | $199.53 | $346.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $52.48 | $123.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $3,801.89 | Professional | 52 · Reduced service | $562.34 | $562.34 | $3,801.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $109.65 | $138.04 | $239.88 |
Oscar Health Setting Facility Modifier Global Typical Low $338.84 Median $338.84 Typical High $426.58 | Facility | Global | $338.84 | $338.84 | $426.58 |
Oscar Health Setting Professional Modifier Global Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | Global | $229.09 | $239.88 | $239.88 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $288.40 Median $537.03 Typical High $912.01 | Facility | Global | $288.40 | $537.03 | $912.01 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $53.70 | Facility | 26 · Professional part | $39.81 | $53.70 | $53.70 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | Global | $141.25 | $141.25 | $186.21 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $38.90 | $39.81 | $53.70 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $100.00 | $102.33 | $131.83 |
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 $134.90 Median $199.53 Typical High $331.13 | Professional | Global | $134.90 | $199.53 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $144.54 | $257.04 |
Where Pennsylvania sits
The same service costs 1.8 times more in South Dakota than in Oklahoma. 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· 23rd of 51
$209
SD $282OK $155
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.