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 $20.89 Median $23.44 Typical High $48.98 | Facility | 26 · Professional part | $20.89 | $23.44 | $48.98 |
Aetna Setting Professional Modifier Global Typical Low $30.90 Median $37.15 Typical High $109.65 | Professional | Global | $30.90 | $37.15 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $74.13 | Professional | 26 · Professional part | $20.42 | $25.70 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $14.45 | $16.60 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.48 Typical High $18.62 | Professional | TC · Technical part | $10.00 | $11.48 | $18.62 |
Ambetter Setting Professional Modifier Global Typical Low $31.62 Median $36.31 Typical High $45.71 | Professional | Global | $31.62 | $36.31 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $22.39 | $38.90 |
AmeriHealth Setting Professional Modifier Global Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | Global | $34.67 | $34.67 | $43.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $22.91 | $22.91 | $25.70 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $33.88 Median $35.48 Typical High $57.54 | Professional | Global | $33.88 | $35.48 | $57.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $21.88 | $22.91 | $38.90 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.59 Typical High $19.50 | Professional | TC · Technical part | $12.02 | $12.59 | $19.50 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.75 Median $26.92 Typical High $38.02 | Facility | 26 · Professional part | $5.75 | $26.92 | $38.02 |
Cigna Setting Professional Modifier Global Typical Low $33.11 Median $41.69 Typical High $67.61 | Professional | Global | $33.11 | $41.69 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $27.54 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.13 Typical High $23.44 | Professional | TC · Technical part | $11.48 | $14.13 | $23.44 |
Emblem Health Setting Professional Modifier Global Typical Low $38.90 Median $52.48 Typical High $77.62 | Professional | Global | $38.90 | $52.48 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $31.62 | $47.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $20.42 | $29.51 |
Geisinger Setting Professional Modifier Global Typical Low $35.48 Median $40.74 Typical High $61.66 | Professional | Global | $35.48 | $40.74 | $61.66 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $26.30 | $38.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.45 Typical High $22.91 | Professional | TC · Technical part | $11.48 | $14.45 | $22.91 |
Highmark BCBS Setting Professional Modifier Global Typical Low $38.02 Median $41.69 Typical High $52.48 | Professional | Global | $38.02 | $41.69 | $52.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $26.30 | $35.48 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $34.67 Median $34.67 Typical High $38.90 | Professional | Global | $34.67 | $34.67 | $38.90 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $22.91 | $26.92 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $42.66 | Facility | 26 · Professional part | $21.38 | $23.44 | $42.66 |
Martin's Point Setting Professional Modifier Global Typical Low $30.90 Median $37.15 Typical High $91.20 | Professional | Global | $30.90 | $37.15 | $91.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $56.23 | Professional | 26 · Professional part | $20.89 | $24.55 | $56.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.38 Typical High $22.91 | Professional | 52 · Reduced service | $15.49 | $17.38 | $22.91 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $12.02 Typical High $25.70 | Professional | TC · Technical part | $10.23 | $12.02 | $25.70 |
Oscar Health Setting Professional Modifier Global Typical Low $15.14 Median $38.02 Typical High $83.18 | Professional | Global | $15.14 | $38.02 | $83.18 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $25.12 | Facility | 26 · Professional part | $21.38 | $25.12 | $25.12 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | Global | $32.36 | $32.36 | $37.15 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $20.89 | $21.38 | $25.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | TC · Technical part | $10.96 | $10.96 | $12.30 |
United Setting Professional Modifier Global Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | Global | $28.84 | $36.31 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $12.30 Typical High $20.42 | Professional | TC · Technical part | $9.12 | $12.30 | $20.42 |
Where Pennsylvania sits
The same service costs 2.4 times more in Kansas 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· 33rd of 51
$37.15
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.