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 Professional Modifier Global Typical Low $199.53 Median $426.58 Typical High $1,258.93 | Professional | Global | $199.53 | $426.58 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $67.61 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $147.91 Typical High $263.03 | Professional | 52 · Reduced service | $97.72 | $147.91 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $114.82 | $186.21 | $562.34 |
Ambetter Setting Professional Modifier Global Typical Low $128.82 Median $173.78 Typical High $281.84 | Professional | Global | $128.82 | $173.78 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $100.00 | $109.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $91.20 | $95.50 |
AmeriHealth Setting Professional Modifier Global Typical Low $263.03 Median $263.03 Typical High $467.74 | Professional | Global | $263.03 | $263.03 | $467.74 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $87.10 | $112.20 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $177.83 | $177.83 | $229.09 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $223.87 Median $331.13 Typical High $588.84 | Professional | Global | $223.87 | $331.13 | $588.84 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $97.72 | $181.97 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $707.95 | Professional | TC · Technical part | $141.25 | $213.80 | $707.95 |
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $407.38 Typical High $724.44 | Professional | Global | $190.55 | $407.38 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $93.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $302.00 | $602.56 |
Emblem Health Setting Professional Modifier Global Typical Low $199.53 Median $269.15 Typical High $1,000.00 | Professional | Global | $199.53 | $269.15 | $1,000.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $93.33 | $147.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $169.82 | $257.04 |
Geisinger Setting Professional Modifier Global Typical Low $177.83 Median $338.84 Typical High $616.60 | Professional | Global | $177.83 | $338.84 | $616.60 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $85.11 | $151.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $218.78 Typical High $489.78 | Professional | TC · Technical part | $112.20 | $218.78 | $489.78 |
Highmark BCBS Setting Professional Modifier Global Typical Low $204.17 Median $223.87 Typical High $398.11 | Professional | Global | $204.17 | $223.87 | $398.11 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $75.86 | $85.11 | $123.03 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $42.66 | $45.71 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $446.68 | Professional | TC · Technical part | $181.97 | $223.87 | $446.68 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $213.80 Median $263.03 Typical High $524.81 | Professional | Global | $213.80 | $263.03 | $524.81 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $87.10 | $112.20 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $229.09 Typical High $2,137.96 | Professional | TC · Technical part | $141.25 | $229.09 | $2,137.96 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $131.83 Typical High $416.87 | Facility | 26 · Professional part | $70.79 | $131.83 | $416.87 |
Martin's Point Setting Professional Modifier Global Typical Low $199.53 Median $426.58 Typical High $1,230.27 | Professional | Global | $199.53 | $426.58 | $1,230.27 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $69.18 | $120.23 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $162.18 Typical High $302.00 | Professional | 52 · Reduced service | $97.72 | $162.18 | $302.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $562.34 | Professional | TC · Technical part | $125.89 | $213.80 | $562.34 |
Oscar Health Setting Professional Modifier Global Typical Low $70.79 Median $151.36 Typical High $346.74 | Professional | Global | $70.79 | $151.36 | $346.74 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $83.18 | Facility | 26 · Professional part | $69.18 | $69.18 | $83.18 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $501.19 | Professional | Global | $190.55 | $190.55 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $67.61 | $69.18 | $83.18 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $416.87 | Professional | TC · Technical part | $117.49 | $120.23 | $416.87 |
United Setting Professional Modifier Global Typical Low $181.97 Median $288.40 Typical High $645.65 | Professional | Global | $181.97 | $288.40 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $85.11 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $588.84 | Professional | TC · Technical part | $117.49 | $181.97 | $588.84 |
Where Pennsylvania sits
The same service costs 2.6 times more in Wisconsin 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· 22nd of 51
$427
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.