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 $2.88 Median $4.37 Typical High $21.88 | Facility | 26 · Professional part | $2.88 | $4.37 | $21.88 |
Aetna Setting Professional Modifier Global Typical Low $22.91 Median $50.12 Typical High $114.82 | Professional | Global | $22.91 | $50.12 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $5.01 Typical High $14.13 | Professional | 26 · Professional part | $2.88 | $5.01 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $12.30 Typical High $22.39 | Professional | 52 · Reduced service | $10.00 | $12.30 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $52.48 | Professional | TC · Technical part | $19.05 | $23.99 | $52.48 |
Ambetter Setting Professional Modifier Global Typical Low $18.20 Median $19.95 Typical High $40.74 | Professional | Global | $18.20 | $19.95 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $4.90 Typical High $6.46 | Professional | 26 · Professional part | $2.63 | $4.90 | $6.46 |
AmeriHealth Setting Professional Modifier Global Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | Global | $31.62 | $31.62 | $52.48 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $3.72 Typical High $4.27 | Professional | 26 · Professional part | $3.72 | $3.72 | $4.27 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $21.88 Median $30.20 Typical High $60.26 | Professional | Global | $21.88 | $30.20 | $60.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.98 Typical High $7.59 | Professional | 26 · Professional part | $3.02 | $3.98 | $7.59 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $26.30 | $52.48 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $0.85 Median $3.98 Typical High $5.62 | Facility | 26 · Professional part | $0.85 | $3.98 | $5.62 |
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $43.65 Typical High $138.04 | Professional | Global | $22.39 | $43.65 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $4.37 Typical High $6.76 | Professional | 26 · Professional part | $3.02 | $4.37 | $6.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.90 Typical High $131.83 | Professional | TC · Technical part | $19.95 | $38.90 | $131.83 |
Emblem Health Setting Professional Modifier Global Typical Low $33.11 Median $51.29 Typical High $74.13 | Professional | Global | $33.11 | $51.29 | $74.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $4.79 Typical High $5.50 | Professional | 26 · Professional part | $3.89 | $4.79 | $5.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $36.31 | Professional | TC · Technical part | $24.55 | $30.90 | $36.31 |
Geisinger Setting Professional Modifier Global Typical Low $23.99 Median $38.02 Typical High $128.82 | Professional | Global | $23.99 | $38.02 | $128.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.57 Typical High $6.76 | Professional | 26 · Professional part | $3.39 | $4.57 | $6.76 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $32.36 Typical High $125.89 | Professional | TC · Technical part | $20.42 | $32.36 | $125.89 |
Highmark BCBS Setting Professional Modifier Global Typical Low $24.55 Median $27.54 Typical High $37.15 | Professional | Global | $24.55 | $27.54 | $37.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.98 Typical High $45.71 | Professional | 26 · Professional part | $3.24 | $3.98 | $45.71 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | TC · Technical part | $114.82 | $114.82 | $120.23 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $31.62 Median $33.11 Typical High $52.48 | Professional | Global | $31.62 | $33.11 | $52.48 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $3.72 Typical High $4.47 | Professional | 26 · Professional part | $3.63 | $3.72 | $4.47 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $2.88 Median $5.01 Typical High $16.98 | Facility | 26 · Professional part | $2.88 | $5.01 | $16.98 |
Martin's Point Setting Professional Modifier Global Typical Low $21.88 Median $41.69 Typical High $112.20 | Professional | Global | $21.88 | $41.69 | $112.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $4.79 Typical High $12.59 | Professional | 26 · Professional part | $2.88 | $4.79 | $12.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $12.30 Typical High $26.92 | Professional | 52 · Reduced service | $10.72 | $12.30 | $26.92 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $61.66 | Professional | TC · Technical part | $19.05 | $25.70 | $61.66 |
Oscar Health Setting Professional Modifier Global Typical Low $3.63 Median $23.99 Typical High $51.29 | Professional | Global | $3.63 | $23.99 | $51.29 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $3.02 Median $5.62 Typical High $5.62 | Facility | 26 · Professional part | $3.02 | $5.62 | $5.62 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $21.88 Median $22.39 Typical High $104.71 | Professional | Global | $21.88 | $22.39 | $104.71 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.02 Typical High $5.62 | Professional | 26 · Professional part | $2.95 | $3.02 | $5.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.50 Typical High $100.00 | Professional | TC · Technical part | $19.05 | $19.50 | $100.00 |
United Setting Professional Modifier Global Typical Low $23.99 Median $39.81 Typical High $128.82 | Professional | Global | $23.99 | $39.81 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $4.07 Typical High $7.08 | Professional | 26 · Professional part | $2.88 | $4.07 | $7.08 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $114.82 | Professional | TC · Technical part | $19.50 | $28.84 | $114.82 |
Where Pennsylvania sits
The same service costs 2.6 times more in Wisconsin than in Oklahoma. 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· 11th of 51
$47.86
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.