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 $11.75 Median $15.85 Typical High $43.65 | Facility | 26 · Professional part | $11.75 | $15.85 | $43.65 |
Aetna Setting Professional Modifier Global Typical Low $74.13 Median $107.15 Typical High $302.00 | Professional | Global | $74.13 | $107.15 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $34.67 | Professional | 26 · Professional part | $11.22 | $15.85 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $117.49 | Professional | 52 · Reduced service | $37.15 | $42.66 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $77.62 | $134.90 |
Ambetter Setting Professional Modifier Global Typical Low $54.95 Median $64.57 Typical High $95.50 | Professional | Global | $54.95 | $64.57 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $9.55 | $17.38 | $22.39 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.50 |
AmeriHealth Setting Professional Modifier Global Typical Low $72.44 Median $91.20 Typical High $102.33 | Professional | Global | $72.44 | $91.20 | $102.33 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $13.18 | $13.18 | $16.22 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $77.62 Median $102.33 Typical High $204.17 | Professional | Global | $77.62 | $102.33 | $204.17 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $15.49 | $25.12 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $66.07 | $87.10 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.95 Median $13.80 Typical High $19.95 | Facility | 26 · Professional part | $2.95 | $13.80 | $19.95 |
Cigna Setting Professional Modifier Global Typical Low $75.86 Median $117.49 Typical High $186.21 | Professional | Global | $75.86 | $117.49 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $23.99 | Professional | 26 · Professional part | $10.96 | $14.79 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $107.15 | $162.18 |
Emblem Health Setting Professional Modifier Global Typical Low $100.00 Median $125.89 Typical High $144.54 | Professional | Global | $100.00 | $125.89 | $144.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $16.98 | $20.42 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $107.15 | $125.89 |
Geisinger Setting Professional Modifier Global Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | Global | $81.28 | $117.49 | $169.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $15.49 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $100.00 | $144.54 |
Highmark BCBS Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Highmark BCBS Setting Professional Modifier Global Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | Global | $87.10 | $87.10 | $128.82 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $12.88 | $19.05 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $67.61 Median $91.20 Typical High $102.33 | Professional | Global | $67.61 | $91.20 | $102.33 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $13.18 | $13.18 | $16.60 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $40.74 | Facility | 26 · Professional part | $11.75 | $15.85 | $40.74 |
Martin's Point Setting Professional Modifier Global Typical Low $75.86 Median $109.65 Typical High $269.15 | Professional | Global | $75.86 | $109.65 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $34.67 | Professional | 26 · Professional part | $11.48 | $14.79 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $93.33 | Professional | 52 · Reduced service | $37.15 | $42.66 | $93.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $85.11 | $173.78 |
Oscar Health Setting Professional Modifier Global Typical Low $13.18 Median $79.43 Typical High $165.96 | Professional | Global | $13.18 | $79.43 | $165.96 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $19.95 Typical High $19.95 | Facility | 26 · Professional part | $12.02 | $19.95 | $19.95 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $77.62 Median $85.11 Typical High $120.23 | Professional | Global | $77.62 | $85.11 | $120.23 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.30 | $19.95 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $72.44 | $100.00 |
United Setting Professional Modifier Global Typical Low $74.13 Median $102.33 Typical High $199.53 | Professional | Global | $74.13 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $10.96 | $14.45 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $87.10 | $165.96 |
Where Pennsylvania sits
The same service costs 2.5 times more in Alaska 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· 29th of 51
$105
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.