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 $11.22 Median $12.59 Typical High $26.30 | Facility | 26 · Professional part | $11.22 | $12.59 | $26.30 |
Aetna Setting Professional Modifier Global Typical Low $50.12 Median $60.26 Typical High $128.82 | Professional | Global | $50.12 | $60.26 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $51.29 | Professional | 26 · Professional part | $10.96 | $15.14 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $26.92 Typical High $34.67 | Professional | 52 · Reduced service | $22.39 | $26.92 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $43.65 | $67.61 |
Ambetter Setting Professional Modifier Global Typical Low $53.70 Median $63.10 Typical High $95.50 | Professional | Global | $53.70 | $63.10 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $12.30 | $19.05 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
AmeriHealth Setting Professional Modifier Global Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | Global | $57.54 | $57.54 | $60.26 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $12.30 | $12.30 | $13.80 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $54.95 Median $56.23 Typical High $91.20 | Professional | Global | $54.95 | $56.23 | $91.20 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $11.75 | $12.30 | $20.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $44.67 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $44.67 | $72.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.02 Median $14.13 Typical High $20.42 | Facility | 26 · Professional part | $3.02 | $14.13 | $20.42 |
Cigna Setting Professional Modifier Global Typical Low $53.70 Median $67.61 Typical High $112.20 | Professional | Global | $53.70 | $67.61 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $11.48 | $15.14 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $52.48 | $87.10 |
Emblem Health Setting Professional Modifier Global Typical Low $67.61 Median $91.20 Typical High $131.83 | Professional | Global | $67.61 | $91.20 | $131.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $16.60 | $25.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $74.13 | $107.15 |
Geisinger Setting Professional Modifier Global Typical Low $52.48 Median $64.57 Typical High $104.71 | Professional | Global | $52.48 | $64.57 | $104.71 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $13.80 | $21.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $39.81 | $51.29 | $83.18 |
Highmark BCBS Setting Professional Modifier Global Typical Low $63.10 Median $67.61 Typical High $81.28 | Professional | Global | $63.10 | $67.61 | $81.28 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $14.45 | $19.95 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | Global | $57.54 | $57.54 | $60.26 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | 26 · Professional part | $12.30 | $12.30 | $14.45 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $22.91 | Facility | 26 · Professional part | $11.48 | $12.59 | $22.91 |
Martin's Point Setting Professional Modifier Global Typical Low $50.12 Median $61.66 Typical High $128.82 | Professional | Global | $50.12 | $61.66 | $128.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $46.77 | Professional | 26 · Professional part | $11.22 | $14.13 | $46.77 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $28.18 Typical High $38.02 | Professional | 52 · Reduced service | $24.55 | $28.18 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $93.33 | Professional | TC · Technical part | $38.90 | $44.67 | $93.33 |
Oscar Health Setting Professional Modifier Global Typical Low $12.88 Median $60.26 Typical High $128.82 | Professional | Global | $12.88 | $60.26 | $128.82 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.75 | Facility | 26 · Professional part | $11.22 | $11.22 | $11.75 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $46.77 Median $51.29 Typical High $56.23 | Professional | Global | $46.77 | $51.29 | $56.23 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $12.02 | Professional | 26 · Professional part | $11.22 | $11.75 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $35.48 | $39.81 | $44.67 |
United Setting Professional Modifier Global Typical Low $45.71 Median $58.88 Typical High $102.33 | Professional | Global | $45.71 | $58.88 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $10.47 | $13.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $45.71 | $79.43 |
Where Pennsylvania sits
The same service costs 2.3 times more in Minnesota 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· 35th of 51
$58.88
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.