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. Small sample; interpret with caution. 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 $128.82 Median $158.49 Typical High $194.98 | Facility | Global | $128.82 | $158.49 | $194.98 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $141.25 Median $141.25 Typical High $204.17 | Facility | 25 · Same-day visit | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier Global Typical Low $42.66 Median $85.11 Typical High $162.18 | Professional | Global | $42.66 | $85.11 | $162.18 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $97.72 Typical High $162.18 | Professional | 25 · Same-day visit | $75.86 | $97.72 | $162.18 |
Ambetter Setting Professional Modifier Global Typical Low $79.43 Median $87.10 Typical High $104.71 | Professional | Global | $79.43 | $87.10 | $104.71 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $85.11 Typical High $138.04 | Professional | 25 · Same-day visit | $75.86 | $85.11 | $138.04 |
AmeriHealth Setting Professional Modifier Global Typical Low $83.18 Median $83.18 Typical High $263.03 | Professional | Global | $83.18 | $83.18 | $263.03 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $79.43 Median $141.25 Typical High $154.88 | Professional | Global | $79.43 | $141.25 | $154.88 |
Cigna Setting Professional Modifier Global Typical Low $42.66 Median $70.79 Typical High $120.23 | Professional | Global | $42.66 | $70.79 | $120.23 |
Emblem Health Setting Professional Modifier Global Typical Low $39.81 Median $54.95 Typical High $109.65 | Professional | Global | $39.81 | $54.95 | $109.65 |
Geisinger Setting Professional Modifier Global Typical Low $57.54 Median $89.13 Typical High $151.36 | Professional | Global | $57.54 | $89.13 | $151.36 |
Highmark BCBS Setting Facility Modifier Global Typical Low $72.44 Median $72.44 Typical High $83.18 | Facility | Global | $72.44 | $72.44 | $83.18 |
Highmark BCBS Setting Professional Modifier Global Typical Low $75.86 Median $81.28 Typical High $95.50 | Professional | Global | $75.86 | $81.28 | $95.50 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | 25 · Same-day visit | $75.86 | $81.28 | $81.28 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $83.18 Median $83.18 Typical High $162.18 | Professional | Global | $83.18 | $83.18 | $162.18 |
Martin's Point Setting Facility Modifier Global Typical Low $50.12 Median $151.36 Typical High $194.98 | Facility | Global | $50.12 | $151.36 | $194.98 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $141.25 Median $141.25 Typical High $204.17 | Facility | 25 · Same-day visit | $141.25 | $141.25 | $204.17 |
Martin's Point Setting Professional Modifier Global Typical Low $44.67 Median $81.28 Typical High $147.91 | Professional | Global | $44.67 | $81.28 | $147.91 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $72.44 Median $95.50 Typical High $162.18 | Professional | 25 · Same-day visit | $72.44 | $95.50 | $162.18 |
Oscar Health Setting Professional Modifier Global Typical Low $44.67 Median $63.10 Typical High $107.15 | Professional | Global | $44.67 | $63.10 | $107.15 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $47.86 Median $60.26 Typical High $89.13 | Professional | Global | $47.86 | $60.26 | $89.13 |
United Setting Professional Modifier Global Typical Low $34.67 Median $61.66 Typical High $109.65 | Professional | Global | $34.67 | $61.66 | $109.65 |
Where Pennsylvania sits
The same service costs 1.9 times more in Montana than in Delaware. 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· 9th of 51
$85.11
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.