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 $70.79 Median $138.04 Typical High $416.87 | Facility | 26 · Professional part | $70.79 | $138.04 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $154.88 Typical High $281.84 | Facility | 53 · Discontinued | $48.98 | $154.88 | $281.84 |
Aetna Setting Professional Modifier Global Typical Low $204.17 Median $371.54 Typical High $1,288.25 | Professional | Global | $204.17 | $371.54 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $257.04 | Professional | 26 · Professional part | $64.57 | $95.50 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $134.90 Typical High $239.88 | Professional | 52 · Reduced service | $100.00 | $134.90 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $131.83 | $257.04 | $562.34 |
Ambetter Setting Professional Modifier Global Typical Low $158.49 Median $181.97 Typical High $269.15 | Professional | Global | $158.49 | $181.97 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $100.00 | $131.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
AmeriHealth Setting Professional Modifier Global Typical Low $269.15 Median $295.12 Typical High $1,096.48 | Professional | Global | $269.15 | $295.12 | $1,096.48 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $83.18 | $87.10 | $114.82 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | TC · Technical part | $186.21 | $186.21 | $234.42 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $213.80 Median $346.74 Typical High $602.56 | Professional | Global | $213.80 | $346.74 | $602.56 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $93.33 | $173.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $707.95 | Professional | TC · Technical part | $134.90 | $223.87 | $707.95 |
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $416.87 Typical High $758.58 | Professional | Global | $190.55 | $416.87 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $128.82 | $302.00 | $645.65 |
Emblem Health Setting Professional Modifier Global Typical Low $204.17 Median $275.42 Typical High $1,096.48 | Professional | Global | $204.17 | $275.42 | $1,096.48 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $69.18 | $91.20 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $173.78 | $223.87 |
Geisinger Setting Professional Modifier Global Typical Low $181.97 Median $331.13 Typical High $630.96 | Professional | Global | $181.97 | $331.13 | $630.96 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $60.26 | $81.28 | $147.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $489.78 | Professional | TC · Technical part | $117.49 | $223.87 | $489.78 |
Highmark BCBS Setting Facility Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Highmark BCBS Setting Professional Modifier Global Typical Low $218.78 Median $234.42 Typical High $407.38 | Professional | Global | $218.78 | $234.42 | $407.38 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $85.11 | $125.89 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $42.66 | $43.65 | $43.65 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $239.88 | Professional | TC · Technical part | $194.98 | $234.42 | $239.88 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $223.87 Median $269.15 Typical High $524.81 | Professional | Global | $223.87 | $269.15 | $524.81 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $77.62 | $87.10 | $114.82 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $234.42 Typical High $2,344.23 | Professional | TC · Technical part | $147.91 | $234.42 | $2,344.23 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $128.82 Typical High $416.87 | Facility | 26 · Professional part | $70.79 | $128.82 | $416.87 |
Martin's Point Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $87.10 Typical High $281.84 | Facility | 53 · Discontinued | $45.71 | $87.10 | $281.84 |
Martin's Point Setting Professional Modifier Global Typical Low $204.17 Median $426.58 Typical High $1,258.93 | Professional | Global | $204.17 | $426.58 | $1,258.93 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $251.19 | Professional | 26 · Professional part | $66.07 | $97.72 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $158.49 Typical High $281.84 | Professional | 52 · Reduced service | $100.00 | $158.49 | $281.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $562.34 | Professional | TC · Technical part | $131.83 | $239.88 | $562.34 |
Oscar Health Setting Professional Modifier Global Typical Low $70.79 Median $151.36 Typical High $363.08 | Professional | Global | $70.79 | $151.36 | $363.08 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | 26 · Professional part | $69.18 | $69.18 | $81.28 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $194.98 Median $194.98 Typical High $512.86 | Professional | Global | $194.98 | $194.98 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $67.61 | $69.18 | $81.28 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $426.58 | Professional | TC · Technical part | $123.03 | $125.89 | $426.58 |
United Setting Professional Modifier Global Typical Low $190.55 Median $295.12 Typical High $691.83 | Professional | Global | $190.55 | $295.12 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $190.55 | $602.56 |
Where Pennsylvania sits
The same service costs 2.7 times more in Wisconsin than in New Mexico. 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· 35th of 51
$372
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.