How much rates vary
Professionalmedian $158 · 10th to 90th $107 to $646
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 $32.36 Median $64.57 Typical High $120.23 | Facility | 26 · Professional part | $32.36 | $64.57 | $120.23 |
Aetna Setting Professional Modifier Global Typical Low $107.15 Median $158.49 Typical High $724.44 | Professional | Global | $107.15 | $158.49 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $107.15 | Professional | 26 · Professional part | $31.62 | $46.77 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $338.84 | Professional | 52 · Reduced service | $79.43 | $79.43 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $75.86 | $97.72 | $269.15 |
Ambetter Setting Professional Modifier Global Typical Low $89.13 Median $114.82 Typical High $190.55 | Professional | Global | $89.13 | $114.82 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $42.66 | $56.23 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 52 · Reduced service | $25.12 | $25.12 | $42.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $87.10 | $138.04 |
AmeriHealth Setting Professional Modifier Global Typical Low $138.04 Median $147.91 Typical High $218.78 | Professional | Global | $138.04 | $147.91 | $218.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $38.02 | $48.98 |
AmeriHealth Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $181.97 | $181.97 | $186.21 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $100.00 | $128.82 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $123.03 Median $162.18 Typical High $245.47 | Professional | Global | $123.03 | $162.18 | $245.47 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $36.31 | $46.77 | $70.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $114.82 | $177.83 |
Cigna Setting Professional Modifier Global Typical Low $102.33 Median $162.18 Typical High $257.04 | Professional | Global | $102.33 | $162.18 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $44.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $117.49 | $190.55 |
Emblem Health Setting Professional Modifier Global Typical Low $131.83 Median $173.78 Typical High $263.03 | Professional | Global | $131.83 | $173.78 | $263.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $75.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $125.89 | $190.55 |
Geisinger Setting Professional Modifier Global Typical Low $104.71 Median $141.25 Typical High $257.04 | Professional | Global | $104.71 | $141.25 | $257.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $39.81 | $75.86 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $100.00 | $186.21 |
Highmark BCBS Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Highmark BCBS Setting Professional Modifier Global Typical Low $134.90 Median $144.54 Typical High $208.93 | Professional | Global | $134.90 | $144.54 | $208.93 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $38.90 | $60.26 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $21.88 Typical High $81.28 | Professional | 52 · Reduced service | $19.50 | $21.88 | $81.28 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $128.82 | $158.49 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $138.04 Median $147.91 Typical High $194.98 | Professional | Global | $138.04 | $147.91 | $194.98 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $38.02 | $50.12 |
Independence Blue Cross Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $186.21 Typical High $194.98 | Professional | 52 · Reduced service | $181.97 | $186.21 | $194.98 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $100.00 | $128.82 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $120.23 | Facility | 26 · Professional part | $32.36 | $53.70 | $120.23 |
Martin's Point Setting Professional Modifier Global Typical Low $112.20 Median $147.91 Typical High $467.74 | Professional | Global | $112.20 | $147.91 | $467.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $32.36 | $44.67 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $81.28 Typical High $338.84 | Professional | 52 · Reduced service | $79.43 | $81.28 | $338.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $100.00 | $234.42 |
Oscar Health Setting Professional Modifier Global Typical Low $36.31 Median $100.00 Typical High $213.80 | Professional | Global | $36.31 | $100.00 | $213.80 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $40.74 | Facility | 26 · Professional part | $35.48 | $35.48 | $40.74 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $120.23 Median $123.03 Typical High $134.90 | Professional | Global | $120.23 | $123.03 | $134.90 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $34.67 | $35.48 | $37.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $85.11 | $87.10 | $95.50 |
United Setting Professional Modifier Global Typical Low $109.65 Median $154.88 Typical High $269.15 | Professional | Global | $109.65 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $44.67 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $112.20 | $186.21 |
Where Pennsylvania sits
The same service costs 2.8 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· 28th of 51
$158
WI $347TX $123
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.