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 $38.90 Median $69.18 Typical High $177.83 | Facility | 26 · Professional part | $38.90 | $69.18 | $177.83 |
Aetna Setting Professional Modifier Global Typical Low $125.89 Median $251.19 Typical High $724.44 | Professional | Global | $125.89 | $251.19 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $173.78 | Professional | 26 · Professional part | $38.02 | $56.23 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $72.44 Typical High $138.04 | Professional | 52 · Reduced service | $61.66 | $72.44 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $257.04 | Professional | TC · Technical part | $85.11 | $120.23 | $257.04 |
Ambetter Setting Professional Modifier Global Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | Global | $85.11 | $104.71 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $58.88 | $67.61 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | TC · Technical part | $131.83 | $131.83 | $134.90 |
AmeriHealth Setting Professional Modifier Global Typical Low $173.78 Median $186.21 Typical High $524.81 | Professional | Global | $173.78 | $186.21 | $524.81 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $50.12 | $64.57 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $123.03 | $158.49 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $131.83 Median $218.78 Typical High $331.13 | Professional | Global | $131.83 | $218.78 | $331.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $66.07 | $104.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $147.91 Typical High $398.11 | Professional | TC · Technical part | $91.20 | $147.91 | $398.11 |
Cigna Setting Professional Modifier Global Typical Low $125.89 Median $239.88 Typical High $407.38 | Professional | Global | $125.89 | $239.88 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $60.26 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $87.10 | $165.96 | $302.00 |
Emblem Health Setting Professional Modifier Global Typical Low $131.83 Median $177.83 Typical High $269.15 | Professional | Global | $131.83 | $177.83 | $269.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $53.70 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $123.03 | $186.21 |
Geisinger Setting Professional Modifier Global Typical Low $131.83 Median $190.55 Typical High $354.81 | Professional | Global | $131.83 | $190.55 | $354.81 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $54.95 | $95.50 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $89.13 | $138.04 | $269.15 |
Highmark BCBS Setting Professional Modifier Global Typical Low $144.54 Median $158.49 Typical High $269.15 | Professional | Global | $144.54 | $158.49 | $269.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $48.98 | $72.44 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $158.49 | $165.96 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $173.78 Median $181.97 Typical High $524.81 | Professional | Global | $173.78 | $181.97 | $524.81 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $47.86 | $50.12 | $66.07 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $123.03 | $158.49 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $177.83 | Facility | 26 · Professional part | $38.90 | $67.61 | $177.83 |
Martin's Point Setting Professional Modifier Global Typical Low $123.03 Median $213.80 Typical High $602.56 | Professional | Global | $123.03 | $213.80 | $602.56 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $158.49 | Professional | 26 · Professional part | $38.02 | $54.95 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $75.86 Typical High $158.49 | Professional | 52 · Reduced service | $60.26 | $75.86 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $117.49 | $275.42 |
Oscar Health Setting Professional Modifier Global Typical Low $41.69 Median $97.72 Typical High $257.04 | Professional | Global | $41.69 | $97.72 | $257.04 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $66.07 | Facility | 26 · Professional part | $39.81 | $39.81 | $66.07 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $125.89 Median $128.82 Typical High $263.03 | Professional | Global | $125.89 | $128.82 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $39.81 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $87.10 | $199.53 |
United Setting Professional Modifier Global Typical Low $117.49 Median $181.97 Typical High $346.74 | Professional | Global | $117.49 | $181.97 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $52.48 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $125.89 | $269.15 |
Where Pennsylvania sits
The same service costs 3.4 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· 26th of 51
$240
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.