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 $7.76 Median $15.85 Typical High $33.11 | Facility | 26 · Professional part | $7.76 | $15.85 | $33.11 |
Aetna Setting Professional Modifier Global Typical Low $17.38 Median $27.54 Typical High $75.86 | Professional | Global | $17.38 | $27.54 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.75 Typical High $25.70 | Professional | 26 · Professional part | $7.41 | $11.75 | $25.70 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 50 · Both sides | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.85 Typical High $41.69 | Professional | TC · Technical part | $12.02 | $15.85 | $41.69 |
Ambetter Setting Professional Modifier Global Typical Low $17.78 Median $20.89 Typical High $30.20 | Professional | Global | $17.78 | $20.89 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $13.18 | $16.22 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $30.20 Typical High $32.36 | Professional | 50 · Both sides | $30.20 | $30.20 | $32.36 |
AmeriHealth Setting Professional Modifier Global Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | Global | $29.51 | $29.51 | $31.62 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $23.44 Median $33.11 Typical High $53.70 | Professional | Global | $23.44 | $33.11 | $53.70 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $8.71 | $11.22 | $20.42 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $66.07 Typical High $107.15 | Professional | 50 · Both sides | $46.77 | $66.07 | $107.15 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $22.39 | $36.31 |
Cigna Setting Professional Modifier Global Typical Low $20.42 Median $33.11 Typical High $52.48 | Professional | Global | $20.42 | $33.11 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $6.76 | $10.47 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $22.91 Typical High $36.31 | Professional | TC · Technical part | $13.80 | $22.91 | $36.31 |
Emblem Health Setting Professional Modifier Global Typical Low $25.70 Median $34.67 Typical High $52.48 | Professional | Global | $25.70 | $34.67 | $52.48 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.30 Typical High $19.50 | Professional | 26 · Professional part | $9.12 | $12.30 | $19.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $33.11 | Professional | TC · Technical part | $16.60 | $21.88 | $33.11 |
Geisinger Setting Professional Modifier Global Typical Low $21.88 Median $28.84 Typical High $56.23 | Professional | Global | $21.88 | $28.84 | $56.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.23 | $19.05 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.05 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $19.05 | $37.15 |
Highmark BCBS Setting Professional Modifier Global Typical Low $26.30 Median $28.84 Typical High $30.90 | Professional | Global | $26.30 | $28.84 | $30.90 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $13.18 | Professional | 26 · Professional part | $9.55 | $10.23 | $13.18 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 50 · Both sides | $57.54 | $57.54 | $57.54 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | Global | $29.51 | $29.51 | $31.62 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $15.85 Typical High $33.11 | Facility | 26 · Professional part | $7.76 | $15.85 | $33.11 |
Martin's Point Setting Professional Modifier Global Typical Low $19.50 Median $28.18 Typical High $70.79 | Professional | Global | $19.50 | $28.18 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.00 Typical High $23.44 | Professional | 26 · Professional part | $7.41 | $10.00 | $23.44 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 50 · Both sides | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $18.62 Typical High $44.67 | Professional | TC · Technical part | $12.30 | $18.62 | $44.67 |
Oscar Health Setting Professional Modifier Global Typical Low $9.33 Median $19.95 Typical High $42.66 | Professional | Global | $9.33 | $19.95 | $42.66 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $9.55 | Facility | 26 · Professional part | $8.51 | $9.55 | $9.55 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $22.39 Median $23.44 Typical High $28.84 | Professional | Global | $22.39 | $23.44 | $28.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $8.71 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.45 Typical High $19.50 | Professional | TC · Technical part | $13.80 | $14.45 | $19.50 |
United Setting Professional Modifier Global Typical Low $22.91 Median $30.90 Typical High $57.54 | Professional | Global | $22.91 | $30.90 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $22.91 | Professional | 26 · Professional part | $7.59 | $10.23 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.42 Typical High $35.48 | Professional | TC · Technical part | $15.14 | $20.42 | $35.48 |
Where Pennsylvania sits
The same service costs 3.0 times more in Wisconsin than in West Virginia. 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· 43rd of 51
$27.54
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.