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 $239.88 Typical High $977.24 | Professional | Global | $83.18 | $239.88 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $100.00 | $213.80 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $954.99 Typical High $954.99 | Professional | 50 · Both sides | $346.74 | $954.99 | $954.99 |
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 $144.54 Median $245.47 Typical High $501.19 | Professional | TC · Technical part | $144.54 | $245.47 | $501.19 |
Ambetter Setting Professional Modifier Global Typical Low $158.49 Median $190.55 Typical High $281.84 | Professional | Global | $158.49 | $190.55 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $75.86 | $102.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $107.15 | $213.80 |
AmeriHealth Setting Professional Modifier Global Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | Global | $281.84 | $281.84 | $501.19 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $79.43 | $102.33 |
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 $575.44 | Professional | Global | $257.04 | $354.81 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $87.10 | $158.49 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $707.95 Typical High $1,148.15 | Professional | 50 · Both sides | $512.86 | $707.95 | $1,148.15 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $707.95 | Professional | TC · Technical part | $177.83 | $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 $616.60 | Professional | TC · Technical part | $141.25 | $302.00 | $616.60 |
Emblem Health Setting Professional Modifier Global Typical Low $213.80 Median $288.40 Typical High $1,047.13 | Professional | Global | $213.80 | $288.40 | $1,047.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $85.11 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $194.98 | $251.19 |
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 $128.82 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $128.82 | $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 $67.61 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $74.13 | $112.20 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 50 · Both sides | $537.03 | $537.03 | $537.03 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $39.81 | $128.82 | $134.90 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $251.19 | $416.87 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $213.80 Median $281.84 Typical High $851.14 | Professional | Global | $213.80 | $281.84 | $851.14 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $79.43 | $102.33 |
Independence Blue Cross 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 |
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 $97.72 Median $302.00 Typical High $1,000.00 | Professional | Global | $97.72 | $302.00 | $1,000.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $64.57 | $102.33 | $223.87 |
Martin's Point Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $954.99 Typical High $954.99 | Professional | 50 · Both sides | $346.74 | $954.99 | $954.99 |
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 $251.19 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $251.19 | $512.86 |
Oscar Health Setting Professional Modifier Global Typical Low $66.07 Median $158.49 Typical High $407.38 | Professional | Global | $66.07 | $158.49 | $407.38 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $89.13 | Facility | 26 · Professional part | $63.10 | $63.10 | $89.13 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $199.53 Median $204.17 Typical High $512.86 | Professional | Global | $199.53 | $204.17 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $63.10 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $138.04 | $416.87 |
United Setting Professional Modifier Global Typical Low $194.98 Median $309.03 Typical High $707.95 | Professional | Global | $194.98 | $309.03 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $77.62 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $630.96 | Professional | TC · Technical part | $138.04 | $208.93 | $630.96 |
Where Pennsylvania sits
The same service costs 4.2 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· 47th of 51
$251
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.