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 $109.65 Median $194.98 Typical High $416.87 | Facility | 26 · Professional part | $109.65 | $194.98 | $416.87 |
Aetna Setting Professional Modifier Global Typical Low $323.59 Median $426.58 Typical High $1,905.46 | Professional | Global | $323.59 | $426.58 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $169.82 Typical High $389.05 | Professional | 26 · Professional part | $104.71 | $169.82 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $199.53 Typical High $263.03 | Professional | 52 · Reduced service | $158.49 | $199.53 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $776.25 | Professional | TC · Technical part | $218.78 | $302.00 | $776.25 |
Ambetter Setting Professional Modifier Global Typical Low $239.88 Median $288.40 Typical High $436.52 | Professional | Global | $239.88 | $288.40 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $147.91 | $177.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $141.25 | $316.23 |
AmeriHealth Setting Professional Modifier Global Typical Low $446.68 Median $446.68 Typical High $575.44 | Professional | Global | $446.68 | $446.68 | $575.44 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $128.82 | $134.90 | $208.93 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $309.03 | $398.11 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $407.38 Median $562.34 Typical High $1,230.27 | Professional | Global | $407.38 | $562.34 | $1,230.27 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $138.04 | $144.54 | $275.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $1,122.02 | Professional | TC · Technical part | $263.03 | $380.19 | $1,122.02 |
Cigna Setting Professional Modifier Global Typical Low $309.03 Median $645.65 Typical High $1,318.26 | Professional | Global | $309.03 | $645.65 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $138.04 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $457.09 Typical High $1,096.48 | Professional | TC · Technical part | $213.80 | $457.09 | $1,096.48 |
Emblem Health Setting Professional Modifier Global Typical Low $331.13 Median $446.68 Typical High $1,548.82 | Professional | Global | $331.13 | $446.68 | $1,548.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $107.15 | $144.54 | $223.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $288.40 | $446.68 |
Geisinger Setting Professional Modifier Global Typical Low $295.12 Median $537.03 Typical High $1,000.00 | Professional | Global | $295.12 | $537.03 | $1,000.00 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $128.82 | $229.09 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $812.83 | Professional | TC · Technical part | $194.98 | $371.54 | $812.83 |
Highmark BCBS Setting Professional Modifier Global Typical Low $346.74 Median $380.19 Typical High $660.69 | Professional | Global | $346.74 | $380.19 | $660.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $131.83 | $194.98 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $389.05 Typical High $1,000.00 | Professional | TC · Technical part | $380.19 | $389.05 | $1,000.00 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $371.54 Median $446.68 Typical High $1,000.00 | Professional | Global | $371.54 | $446.68 | $1,000.00 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $125.89 | $134.90 | $199.53 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $245.47 | $309.03 | $398.11 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $169.82 Typical High $416.87 | Facility | 26 · Professional part | $109.65 | $169.82 | $416.87 |
Martin's Point Setting Professional Modifier Global Typical Low $331.13 Median $446.68 Typical High $1,348.96 | Professional | Global | $331.13 | $446.68 | $1,348.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $151.36 Typical High $354.81 | Professional | 26 · Professional part | $107.15 | $151.36 | $354.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $213.80 Typical High $416.87 | Professional | 52 · Reduced service | $165.96 | $213.80 | $416.87 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $758.58 | Professional | TC · Technical part | $218.78 | $302.00 | $758.58 |
Oscar Health Setting Professional Modifier Global Typical Low $109.65 Median $234.42 Typical High $588.84 | Professional | Global | $109.65 | $234.42 | $588.84 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $123.03 | Facility | 26 · Professional part | $107.15 | $107.15 | $123.03 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $316.23 Median $323.59 Typical High $346.74 | Professional | Global | $316.23 | $323.59 | $346.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $104.71 | $107.15 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $208.93 | $213.80 | $234.42 |
United Setting Professional Modifier Global Typical Low $309.03 Median $478.63 Typical High $1,258.93 | Professional | Global | $309.03 | $478.63 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $128.82 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $316.23 Typical High $1,023.29 | Professional | TC · Technical part | $199.53 | $316.23 | $1,023.29 |
Where Pennsylvania sits
The same service costs 2.4 times more in Wisconsin than in Texas. 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· 42nd of 51
$437
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.