How much rates vary
Facilitymedian $155 · 10th to 90th $115 to $355Professionalmedian $141 · 10th to 90th $105 to $245
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 Global Typical Low $114.82 Median $162.18 Typical High $354.81 | Facility | Global | $114.82 | $162.18 | $354.81 |
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $141.25 Typical High $263.03 | Professional | Global | $104.71 | $141.25 | $263.03 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 25 · Same-day visit | $165.96 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier Global Typical Low $102.33 Median $138.04 Typical High $199.53 | Professional | Global | $102.33 | $138.04 | $199.53 |
AmeriHealth Setting Facility Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | Global | $151.36 | $151.36 | $151.36 |
AmeriHealth Setting Professional Modifier Global Typical Low $102.33 Median $141.25 Typical High $181.97 | Professional | Global | $102.33 | $141.25 | $181.97 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $173.78 Median $208.93 Typical High $295.12 | Professional | Global | $173.78 | $208.93 | $295.12 |
Cigna Setting Facility Modifier Global Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | Global | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier Global Typical Low $89.13 Median $147.91 Typical High $239.88 | Professional | Global | $89.13 | $147.91 | $239.88 |
Emblem Health Setting Facility Modifier Global Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | Global | $91.20 | $91.20 | $91.20 |
Emblem Health Setting Professional Modifier Global Typical Low $91.20 Median $104.71 Typical High $144.54 | Professional | Global | $91.20 | $104.71 | $144.54 |
Geisinger Setting Facility Modifier Global Typical Low $107.15 Median $107.15 Typical High $112.20 | Facility | Global | $107.15 | $107.15 | $112.20 |
Geisinger Setting Professional Modifier Global Typical Low $131.83 Median $177.83 Typical High $316.23 | Professional | Global | $131.83 | $177.83 | $316.23 |
Highmark BCBS Setting Facility Modifier Global Typical Low $95.50 Median $186.21 Typical High $426.58 | Facility | Global | $95.50 | $186.21 | $426.58 |
Highmark BCBS Setting Professional Modifier Global Typical Low $131.83 Median $158.49 Typical High $208.93 | Professional | Global | $131.83 | $158.49 | $208.93 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 25 · Same-day visit | $120.23 | $120.23 | $120.23 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $144.54 Median $151.36 Typical High $151.36 | Facility | Global | $144.54 | $151.36 | $151.36 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $102.33 Median $141.25 Typical High $181.97 | Professional | Global | $102.33 | $141.25 | $181.97 |
Martin's Point Setting Facility Modifier Global Typical Low $114.82 Median $169.82 Typical High $354.81 | Facility | Global | $114.82 | $169.82 | $354.81 |
Martin's Point Setting Professional Modifier Global Typical Low $104.71 Median $141.25 Typical High $223.87 | Professional | Global | $104.71 | $141.25 | $223.87 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 25 · Same-day visit | $165.96 | $165.96 | $165.96 |
Optum Setting Professional Modifier Global Typical Low $95.50 Median $141.25 Typical High $208.93 | Professional | Global | $95.50 | $141.25 | $208.93 |
Oscar Health Setting Facility Modifier Global Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | Global | $1,258.93 | $1,258.93 | $1,258.93 |
Oscar Health Setting Professional Modifier Global Typical Low $87.10 Median $138.04 Typical High $190.55 | Professional | Global | $87.10 | $138.04 | $190.55 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $104.71 Median $144.54 Typical High $169.82 | Professional | Global | $104.71 | $144.54 | $169.82 |
United Setting Facility Modifier Global Typical Low $44.67 Median $44.67 Typical High $120.23 | Facility | Global | $44.67 | $44.67 | $120.23 |
United Setting Professional Modifier Global Typical Low $100.00 Median $151.36 Typical High $269.15 | Professional | Global | $100.00 | $151.36 | $269.15 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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
$141
MN $174DE $132
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.