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 $147.91 Typical High $416.87 | Facility | 26 · Professional part | $70.79 | $147.91 | $416.87 |
Aetna Setting Professional Modifier Global Typical Low $239.88 Median $426.58 Typical High $1,548.82 | Professional | Global | $239.88 | $426.58 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $257.04 | Professional | 26 · Professional part | $67.61 | $125.89 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $186.21 Typical High $263.03 | Professional | 52 · Reduced service | $117.49 | $186.21 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $257.04 | $562.34 |
Ambetter Setting Professional Modifier Global Typical Low $181.97 Median $186.21 Typical High $199.53 | Professional | Global | $181.97 | $186.21 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $97.72 | $114.82 |
AmeriHealth Setting Professional Modifier Global Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | Global | $323.59 | $323.59 | $426.58 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $85.11 | $109.65 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $234.42 Median $323.59 Typical High $831.76 | Professional | Global | $234.42 | $323.59 | $831.76 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $93.33 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $162.18 | $234.42 | $707.95 |
Cigna Setting Professional Modifier Global Typical Low $234.42 Median $467.74 Typical High $812.83 | Professional | Global | $234.42 | $467.74 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $85.11 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $165.96 | $346.74 | $691.83 |
Emblem Health Setting Professional Modifier Global Typical Low $239.88 Median $323.59 Typical High $1,096.48 | Professional | Global | $239.88 | $323.59 | $1,096.48 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $91.20 | $144.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $218.78 | $338.84 |
Geisinger Setting Professional Modifier Global Typical Low $234.42 Median $363.08 Typical High $645.65 | Professional | Global | $234.42 | $363.08 | $645.65 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $81.28 | $144.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $275.42 | $512.86 |
Highmark BCBS Setting Professional Modifier Global Typical Low $251.19 Median $281.84 Typical High $512.86 | Professional | Global | $251.19 | $281.84 | $512.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $83.18 | $117.49 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $42.66 | $316.23 | $316.23 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $295.12 | Professional | TC · Technical part | $245.47 | $288.40 | $295.12 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | Global | $323.59 | $323.59 | $426.58 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $85.11 | $112.20 |
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 Professional Modifier Global Typical Low $239.88 Median $426.58 Typical High $1,288.25 | Professional | Global | $239.88 | $426.58 | $1,288.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $251.19 | Professional | 26 · Professional part | $70.79 | $123.03 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $190.55 Typical High $316.23 | Professional | 52 · Reduced service | $120.23 | $190.55 | $316.23 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $169.82 | $281.84 | $616.60 |
Oscar Health Setting Professional Modifier Global Typical Low $69.18 Median $173.78 Typical High $416.87 | Professional | Global | $69.18 | $173.78 | $416.87 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $89.13 | Facility | 26 · Professional part | $69.18 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $223.87 Median $234.42 Typical High $512.86 | Professional | Global | $223.87 | $234.42 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $67.61 | $70.79 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $165.96 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $165.96 | $416.87 |
United Setting Professional Modifier Global Typical Low $223.87 Median $354.81 Typical High $724.44 | Professional | Global | $223.87 | $354.81 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $251.19 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $251.19 | $630.96 |
Where Pennsylvania sits
The same service costs 2.2 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· 34th 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.