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 $11.22 Median $22.39 Typical High $47.86 | Facility | 26 · Professional part | $11.22 | $22.39 | $47.86 |
Aetna Setting Professional Modifier Global Typical Low $44.67 Median $72.44 Typical High $223.87 | Professional | Global | $44.67 | $72.44 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $11.22 | $19.50 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $31.62 | $48.98 | $87.10 |
Ambetter Setting Professional Modifier Global Typical Low $35.48 Median $48.98 Typical High $81.28 | Professional | Global | $35.48 | $48.98 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.14 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $15.14 | $20.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $56.23 | $83.18 |
AmeriHealth Setting Professional Modifier Global Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | Global | $53.70 | $63.10 | $81.28 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $15.49 | $15.49 | $26.92 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $47.86 | $47.86 | $52.48 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $50.12 Median $61.66 Typical High $112.20 | Professional | Global | $50.12 | $61.66 | $112.20 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $19.05 | $35.48 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $37.15 | $45.71 | $75.86 |
Cigna Setting Professional Modifier Global Typical Low $40.74 Median $61.66 Typical High $100.00 | Professional | Global | $40.74 | $61.66 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $10.23 | $17.78 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $43.65 | $74.13 |
Emblem Health Setting Professional Modifier Global Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | Global | $54.95 | $74.13 | $112.20 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $17.38 | $26.92 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $42.66 | $56.23 | $85.11 |
Geisinger Setting Professional Modifier Global Typical Low $38.90 Median $58.88 Typical High $107.15 | Professional | Global | $38.90 | $58.88 | $107.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $16.98 | $27.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $26.92 | $42.66 | $83.18 |
Highmark BCBS Setting Professional Modifier Global Typical Low $13.49 Median $58.88 Typical High $79.43 | Professional | Global | $13.49 | $58.88 | $79.43 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $14.45 | $21.38 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $67.61 | Professional | TC · Technical part | $47.86 | $56.23 | $67.61 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | Global | $53.70 | $63.10 | $81.28 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $15.49 | $29.51 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $47.86 | $47.86 | $63.10 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $40.74 | Facility | 26 · Professional part | $11.22 | $18.20 | $40.74 |
Martin's Point Setting Professional Modifier Global Typical Low $44.67 Median $64.57 Typical High $141.25 | Professional | Global | $44.67 | $64.57 | $141.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $41.69 | Professional | 26 · Professional part | $11.22 | $16.22 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $85.11 | Professional | TC · Technical part | $31.62 | $43.65 | $85.11 |
Oscar Health Setting Professional Modifier Global Typical Low $13.49 Median $44.67 Typical High $91.20 | Professional | Global | $13.49 | $44.67 | $91.20 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $16.60 | Facility | 26 · Professional part | $12.30 | $16.60 | $16.60 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | Global | $48.98 | $48.98 | $53.70 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $12.02 | $12.30 | $16.60 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | TC · Technical part | $36.31 | $37.15 | $40.74 |
United Setting Professional Modifier Global Typical Low $41.69 Median $54.95 Typical High $100.00 | Professional | Global | $41.69 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.85 Typical High $40.74 | Professional | 26 · Professional part | $11.48 | $15.85 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $40.74 | $83.18 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska 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
$70.79
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.