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 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $57.54 | Facility | 26 · Professional part | $19.50 | $19.50 | $57.54 |
Aetna Setting Professional Modifier Global Typical Low $54.95 Median $67.61 Typical High $134.90 | Professional | Global | $54.95 | $67.61 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $19.50 | $44.67 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $17.38 Median $17.38 Typical High $107.15 | Professional | 50 · Both sides | $17.38 | $17.38 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $30.90 Typical High $41.69 | Professional | 52 · Reduced service | $25.70 | $30.90 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $43.65 | $60.26 |
Ambetter Setting Professional Modifier Global Typical Low $54.95 Median $61.66 Typical High $109.65 | Professional | Global | $54.95 | $61.66 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $27.54 | $35.48 |
AmeriHealth Setting Professional Modifier Global Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | Global | $70.79 | $70.79 | $79.43 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $19.05 | $19.05 | $23.99 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $57.54 Median $74.13 Typical High $104.71 | Professional | Global | $57.54 | $74.13 | $104.71 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $18.20 | $23.99 | $34.67 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $147.91 Typical High $213.80 | Professional | 50 · Both sides | $114.82 | $147.91 | $213.80 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $39.81 | $50.12 | $70.79 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $4.57 Median $21.38 Typical High $30.90 | Facility | 26 · Professional part | $4.57 | $21.38 | $30.90 |
Cigna Setting Professional Modifier Global Typical Low $56.23 Median $75.86 Typical High $131.83 | Professional | Global | $56.23 | $75.86 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $23.44 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $51.29 | $89.13 |
Emblem Health Setting Professional Modifier Global Typical Low $67.61 Median $100.00 Typical High $134.90 | Professional | Global | $67.61 | $100.00 | $134.90 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $27.54 | $38.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $72.44 | $95.50 |
Geisinger Setting Professional Modifier Global Typical Low $52.48 Median $69.18 Typical High $120.23 | Professional | Global | $52.48 | $69.18 | $120.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $17.38 | $21.38 | $37.15 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $34.67 | $48.98 | $85.11 |
Highmark BCBS Setting Professional Modifier Global Typical Low $64.57 Median $70.79 Typical High $102.33 | Professional | Global | $64.57 | $70.79 | $102.33 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $70.79 | Professional | 26 · Professional part | $19.95 | $26.92 | $70.79 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | 50 · Both sides | $128.82 | $128.82 | $181.97 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | Global | $70.79 | $70.79 | $79.43 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $19.05 | $19.05 | $23.99 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $57.54 | Facility | 26 · Professional part | $17.38 | $19.50 | $57.54 |
Martin's Point Setting Professional Modifier Global Typical Low $54.95 Median $69.18 Typical High $144.54 | Professional | Global | $54.95 | $69.18 | $144.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $19.95 | $44.67 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $17.38 Median $17.38 Typical High $107.15 | Professional | 50 · Both sides | $17.38 | $17.38 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $30.90 Typical High $44.67 | Professional | 52 · Reduced service | $26.92 | $30.90 | $44.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $93.33 | Professional | TC · Technical part | $38.02 | $47.86 | $93.33 |
Oscar Health Setting Professional Modifier Global Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | Global | $64.57 | $64.57 | $64.57 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $17.38 Typical High $17.38 | Facility | 26 · Professional part | $16.22 | $17.38 | $17.38 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | Global | $58.88 | $58.88 | $64.57 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.38 Typical High $18.20 | Professional | 26 · Professional part | $16.98 | $17.38 | $18.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $45.71 | Professional | TC · Technical part | $40.74 | $41.69 | $45.71 |
United Setting Professional Modifier Global Typical Low $52.48 Median $72.44 Typical High $120.23 | Professional | Global | $52.48 | $72.44 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $16.22 | $22.39 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $83.18 | Professional | TC · Technical part | $35.48 | $50.12 | $83.18 |
Where Pennsylvania sits
The same service costs 2.5 times more in South Dakota than in Kentucky. 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· 20th of 51
$69.18
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.