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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier Global Typical Low $35.48 Median $40.74 Typical High $63.10 | Professional | Global | $35.48 | $40.74 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $10.72 | $12.59 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $24.55 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier Global Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | Global | $42.66 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.02 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $42.66 Median $44.67 Typical High $72.44 | Professional | Global | $42.66 | $44.67 | $72.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $12.59 | $21.38 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $32.36 | $48.98 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.16 Median $14.45 Typical High $20.89 | Facility | 26 · Professional part | $3.16 | $14.45 | $20.89 |
Cigna Setting Professional Modifier Global Typical Low $41.69 Median $52.48 Typical High $85.11 | Professional | Global | $41.69 | $52.48 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $15.49 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $36.31 | $61.66 |
Emblem Health Setting Professional Modifier Global Typical Low $51.29 Median $67.61 Typical High $100.00 | Professional | Global | $51.29 | $67.61 | $100.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $12.59 | $16.98 | $26.30 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $51.29 | $74.13 |
Geisinger Setting Professional Modifier Global Typical Low $41.69 Median $48.98 Typical High $79.43 | Professional | Global | $41.69 | $48.98 | $79.43 |
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 $28.84 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $35.48 | $57.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Martin's Point Setting Professional Modifier Global Typical Low $36.31 Median $42.66 Typical High $67.61 | Professional | Global | $36.31 | $42.66 | $67.61 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $12.59 | $20.42 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $29.51 | $51.29 |
Oscar Health Setting Professional Modifier Global Typical Low $13.18 Median $47.86 Typical High $95.50 | Professional | Global | $13.18 | $47.86 | $95.50 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $12.02 | Facility | 26 · Professional part | $11.22 | $11.22 | $12.02 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $36.31 Median $37.15 Typical High $38.02 | Professional | Global | $36.31 | $37.15 | $38.02 |
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 $25.12 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.12 | $25.70 | $25.70 |
United Setting Professional Modifier Global Typical Low $35.48 Median $45.71 Typical High $77.62 | Professional | Global | $35.48 | $45.71 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.49 Typical High $23.99 | Professional | 26 · Professional part | $10.72 | $13.49 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $31.62 | $57.54 |
Where Pennsylvania sits
The same service costs 2.5 times more in Minnesota than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
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.