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 26 · Professional part Typical Low $125.89 Median $239.88 Typical High $467.74 | Facility | 26 · Professional part | $125.89 | $239.88 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $125.89 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $69.18 | $138.04 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $107.15 | $107.15 | $120.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $91.20 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $112.20 | $169.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $93.33 | $114.82 | $147.91 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $100.00 | $128.82 | $165.96 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $107.15 | $107.15 | $120.23 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $125.89 Median $128.82 Typical High $416.87 | Facility | 26 · Professional part | $125.89 | $128.82 | $416.87 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $97.72 | $125.89 | $263.03 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $102.33 | Facility | 26 · Professional part | $87.10 | $87.10 | $102.33 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $102.33 | Professional | 26 · Professional part | $83.18 | $89.13 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $104.71 | $169.82 |