How much rates vary
Professionalmedian $63 · 10th to 90th $36 to $151
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 $10.00 Median $10.96 Typical High $28.18 | Facility | 26 · Professional part | $10.00 | $10.96 | $28.18 |
Aetna Setting Professional Modifier Global Typical Low $36.31 Median $63.10 Typical High $154.88 | Professional | Global | $36.31 | $63.10 | $154.88 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 25 · Same-day visit | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $48.98 | Professional | 26 · Professional part | $9.55 | $14.79 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $26.30 | $33.88 | $64.57 |
Ambetter Setting Professional Modifier Global Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | Global | $32.36 | $41.69 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $16.60 | Professional | 26 · Professional part | $9.33 | $11.75 | $16.60 |
AmeriHealth Setting Professional Modifier Global Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | Global | $48.98 | $48.98 | $57.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $38.02 Median $38.90 Typical High $104.71 | Professional | Global | $38.02 | $38.90 | $104.71 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $10.47 | $23.99 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $81.28 | Professional | TC · Technical part | $27.54 | $28.84 | $81.28 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.63 Median $12.30 Typical High $17.38 | Facility | 26 · Professional part | $2.63 | $12.30 | $17.38 |
Cigna Setting Professional Modifier Global Typical Low $39.81 Median $63.10 Typical High $107.15 | Professional | Global | $39.81 | $63.10 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.49 Typical High $25.12 | Professional | 26 · Professional part | $10.00 | $15.49 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $28.84 | $47.86 | $81.28 |
Emblem Health Setting Professional Modifier Global Typical Low $52.48 Median $63.10 Typical High $95.50 | Professional | Global | $52.48 | $63.10 | $95.50 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $14.79 | $21.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $47.86 | $72.44 |
Geisinger Setting Professional Modifier Global Typical Low $42.66 Median $56.23 Typical High $89.13 | Professional | Global | $42.66 | $56.23 | $89.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $10.47 | $15.14 | $22.39 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $31.62 | $41.69 | $67.61 |
Highmark BCBS Setting Professional Modifier Global Typical Low $42.66 Median $46.77 Typical High $67.61 | Professional | Global | $42.66 | $46.77 | $67.61 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $12.30 | $28.18 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $30.20 | $32.36 | $32.36 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | Global | $48.98 | $48.98 | $56.23 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.80 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $22.39 | Facility | 26 · Professional part | $10.00 | $11.75 | $22.39 |
Martin's Point Setting Professional Modifier Global Typical Low $36.31 Median $60.26 Typical High $147.91 | Professional | Global | $36.31 | $60.26 | $147.91 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.80 Typical High $39.81 | Professional | 26 · Professional part | $9.77 | $13.80 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $38.02 | $75.86 |
Oscar Health Setting Professional Modifier Global Typical Low $11.22 Median $44.67 Typical High $93.33 | Professional | Global | $11.22 | $44.67 | $93.33 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $74.13 Typical High $85.11 | Facility | 26 · Professional part | $10.00 | $74.13 | $85.11 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $36.31 Median $37.15 Typical High $39.81 | Professional | Global | $36.31 | $37.15 | $39.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $10.23 | Professional | 26 · Professional part | $9.77 | $10.00 | $10.23 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | TC · Technical part | $26.30 | $26.92 | $29.51 |
United Setting Professional Modifier Global Typical Low $42.66 Median $60.26 Typical High $109.65 | Professional | Global | $42.66 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $13.80 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $31.62 | $46.77 | $87.10 |
Where Pennsylvania sits
The same service costs 2.5 times more in South Dakota 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· 21st of 51
$63.10
SD $102TX $41.69
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.