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 $66.07 Median $138.04 Typical High $416.87 | Facility | 26 · Professional part | $66.07 | $138.04 | $416.87 |
Aetna Setting Professional Modifier Global Typical Low $83.18 Median $269.15 Typical High $1,023.29 | Professional | Global | $83.18 | $269.15 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $64.57 | $120.23 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $158.49 Typical High $239.88 | Professional | 52 · Reduced service | $102.33 | $158.49 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $251.19 Typical High $562.34 | Professional | TC · Technical part | $141.25 | $251.19 | $562.34 |
Ambetter Setting Professional Modifier Global Typical Low $154.88 Median $186.21 Typical High $302.00 | Professional | Global | $154.88 | $186.21 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $89.13 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $89.13 | $102.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | TC · Technical part | $107.15 | $107.15 | $109.65 |
AmeriHealth Setting Professional Modifier Global Typical Low $134.90 Median $281.84 Typical High $549.54 | Professional | Global | $134.90 | $281.84 | $549.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $81.28 | $128.82 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $199.53 | $199.53 | $257.04 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $257.04 Median $354.81 Typical High $562.34 | Professional | Global | $257.04 | $354.81 | $562.34 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $89.13 | $158.49 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $707.95 Typical High $1,122.02 | Professional | 50 · Both sides | $512.86 | $707.95 | $1,122.02 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $707.95 | Professional | TC · Technical part | $173.78 | $245.47 | $707.95 |
Cigna Setting Professional Modifier Global Typical Low $199.53 Median $407.38 Typical High $758.58 | Professional | Global | $199.53 | $407.38 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $50.12 | $79.43 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $141.25 | $302.00 | $602.56 |
Emblem Health Setting Professional Modifier Global Typical Low $218.78 Median $288.40 Typical High $1,047.13 | Professional | Global | $218.78 | $288.40 | $1,047.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $85.11 | $134.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $194.98 | $295.12 |
Geisinger Setting Professional Modifier Global Typical Low $190.55 Median $338.84 Typical High $562.34 | Professional | Global | $190.55 | $338.84 | $562.34 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $74.13 | $134.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $131.83 | $251.19 | $426.58 |
Highmark BCBS Setting Professional Modifier Global Typical Low $218.78 Median $234.42 Typical High $436.52 | Professional | Global | $218.78 | $234.42 | $436.52 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $69.18 | $72.44 | $100.00 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 50 · Both sides | $467.74 | $467.74 | $467.74 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $36.31 | $39.81 | $45.71 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $257.04 | $257.04 | $323.59 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $134.90 Median $281.84 Typical High $549.54 | Professional | Global | $134.90 | $281.84 | $549.54 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $81.28 | $128.82 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $199.53 | $257.04 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $125.89 Typical High $416.87 | Facility | 26 · Professional part | $66.07 | $125.89 | $416.87 |
Martin's Point Setting Professional Modifier Global Typical Low $138.04 Median $380.19 Typical High $1,122.02 | Professional | Global | $138.04 | $380.19 | $1,122.02 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $66.07 | $114.82 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $186.21 Typical High $281.84 | Professional | 52 · Reduced service | $104.71 | $186.21 | $281.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $144.54 | $257.04 | $562.34 |
Oscar Health Setting Professional Modifier Global Typical Low $66.07 Median $154.88 Typical High $407.38 | Professional | Global | $66.07 | $154.88 | $407.38 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $89.13 | Facility | 26 · Professional part | $64.57 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $199.53 Median $218.78 Typical High $512.86 | Professional | Global | $199.53 | $218.78 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $66.07 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $151.36 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $151.36 | $416.87 |
United Setting Professional Modifier Global Typical Low $199.53 Median $309.03 Typical High $707.95 | Professional | Global | $199.53 | $309.03 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $56.23 | $77.62 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $616.60 | Professional | TC · Technical part | $138.04 | $208.93 | $616.60 |
Where Pennsylvania sits
The same service costs 4.6 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· 45th of 51
$275
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.