Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $35.48 Median $213.80 Typical High $316.23 | Facility | Global | $35.48 | $213.80 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $14.45 Typical High $27.54 | Facility | 26 · Professional part | $7.24 | $14.45 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $93.33 Typical High $331.13 | Facility | TC · Technical part | $23.44 | $93.33 | $331.13 |
Aetna Setting Professional Modifier Global Typical Low $11.75 Median $28.18 Typical High $104.71 | Professional | Global | $11.75 | $28.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $6.76 | $12.02 | $23.99 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 50 · Both sides | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $87.10 | Professional | 52 · Reduced service | $11.22 | $14.13 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $22.39 | $48.98 |
Ambetter Setting Professional Modifier Global Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | Global | $20.89 | $24.55 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.55 Typical High $13.80 | Professional | 26 · Professional part | $6.17 | $9.55 | $13.80 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 50 · Both sides | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $17.78 | $40.74 |
AmeriHealth Setting Facility Modifier Global Typical Low $32.36 Median $77.62 Typical High $5,754.40 | Facility | Global | $32.36 | $77.62 | $5,754.40 |
AmeriHealth Setting Professional Modifier Global Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | Global | $33.11 | $38.90 | $54.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.88 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $117.49 Median $128.82 Typical High $57,543.99 | Facility | Global | $117.49 | $128.82 | $57,543.99 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $162.18 | Facility | TC · Technical part | $79.43 | $112.20 | $162.18 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $30.20 Median $35.48 Typical High $58.88 | Professional | Global | $30.20 | $35.48 | $58.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $10.72 | $18.62 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | 50 · Both sides | $60.26 | $70.79 | $117.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $24.55 | $40.74 |
Cigna Setting Facility Modifier Global Typical Low $29.51 Median $64.57 Typical High $257.04 | Facility | Global | $29.51 | $64.57 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $33.11 Typical High $57.54 | Professional | Global | $22.39 | $33.11 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $9.77 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $23.99 | $42.66 |
Emblem Health Setting Professional Modifier Global Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | Global | $32.36 | $43.65 | $66.07 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $10.96 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $32.36 | $48.98 |
Geisinger Setting Facility Modifier Global Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | Global | $28.84 | $28.84 | $28.84 |
Geisinger Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | TC · Technical part | $28.84 | $28.84 | $28.84 |
Geisinger Setting Professional Modifier Global Typical Low $20.42 Median $33.11 Typical High $61.66 | Professional | Global | $20.42 | $33.11 | $61.66 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $9.12 | $16.60 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $13.80 | $23.99 | $44.67 |
Highmark BCBS Setting Facility Modifier Global Typical Low $79.43 Median $223.87 Typical High $363.08 | Facility | Global | $79.43 | $223.87 | $363.08 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $208.93 Typical High $398.11 | Facility | TC · Technical part | $128.82 | $208.93 | $398.11 |
Highmark BCBS Setting Professional Modifier Global Typical Low $30.90 Median $37.15 Typical High $39.81 | Professional | Global | $30.90 | $37.15 | $39.81 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.33 | $17.78 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $18.62 Median $75.86 Typical High $79.43 | Professional | 50 · Both sides | $18.62 | $75.86 | $79.43 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $58.88 Median $85.11 Typical High $5,754.40 | Facility | Global | $58.88 | $85.11 | $5,754.40 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $37.15 Median $38.90 Typical High $50.12 | Professional | Global | $37.15 | $38.90 | $50.12 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.88 |
Martin's Point Setting Facility Modifier Global Typical Low $33.88 Median $194.98 Typical High $331.13 | Facility | Global | $33.88 | $194.98 | $331.13 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $12.59 Typical High $27.54 | Facility | 26 · Professional part | $7.24 | $12.59 | $27.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $79.43 Typical High $338.84 | Facility | TC · Technical part | $20.89 | $79.43 | $338.84 |
Martin's Point Setting Professional Modifier Global Typical Low $16.22 Median $30.20 Typical High $69.18 | Professional | Global | $16.22 | $30.20 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $22.91 | Professional | 26 · Professional part | $6.76 | $9.77 | $22.91 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 50 · Both sides | $13.49 | $13.49 | $13.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.79 Typical High $35.48 | Professional | 52 · Reduced service | $12.88 | $14.79 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $23.44 | $50.12 |
Oscar Health Setting Facility Modifier Global Typical Low $162.18 Median $169.82 Typical High $234.42 | Facility | Global | $162.18 | $169.82 | $234.42 |
Oscar Health Setting Professional Modifier Global Typical Low $8.32 Median $25.70 Typical High $53.70 | Professional | Global | $8.32 | $25.70 | $53.70 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $53.70 Median $91.20 Typical High $117.49 | Facility | Global | $53.70 | $91.20 | $117.49 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.51 | Facility | 26 · Professional part | $7.94 | $7.94 | $8.51 |
UPMC Health Plan Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $21.88 | Facility | TC · Technical part | $19.50 | $19.50 | $21.88 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | Global | $28.18 | $29.51 | $32.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $8.51 | Professional | 26 · Professional part | $7.76 | $7.94 | $8.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $21.88 | $24.55 |
United Setting Facility Modifier Global Typical Low $144.54 Median $251.19 Typical High $346.74 | Facility | Global | $144.54 | $251.19 | $346.74 |
United Setting Professional Modifier Global Typical Low $23.44 Median $33.11 Typical High $64.57 | Professional | Global | $23.44 | $33.11 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $28.18 | Professional | 26 · Professional part | $6.92 | $9.55 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $16.60 | $23.99 | $48.98 |