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 Global Typical Low $16.98 Median $104.71 Typical High $234.42 | Facility | Global | $16.98 | $104.71 | $234.42 |
Aetna Setting Professional Modifier Global Typical Low $12.59 Median $22.91 Typical High $54.95 | Professional | Global | $12.59 | $22.91 | $54.95 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $16.22 Median $40.74 Typical High $40.74 | Professional | 25 · Same-day visit | $16.22 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier Global Typical Low $12.30 Median $17.38 Typical High $26.30 | Professional | Global | $12.30 | $17.38 | $26.30 |
AmeriHealth Setting Facility Modifier Global Typical Low $104.71 Median $194.98 Typical High $1,000.00 | Facility | Global | $104.71 | $194.98 | $1,000.00 |
AmeriHealth Setting Professional Modifier Global Typical Low $15.49 Median $18.20 Typical High $50.12 | Professional | Global | $15.49 | $18.20 | $50.12 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $15.49 Median $19.50 Typical High $34.67 | Professional | Global | $15.49 | $19.50 | $34.67 |
Cigna Setting Facility Modifier Global Typical Low $18.20 Median $18.20 Typical High $758.58 | Facility | Global | $18.20 | $18.20 | $758.58 |
Cigna Setting Professional Modifier Global Typical Low $14.45 Median $22.91 Typical High $38.02 | Professional | Global | $14.45 | $22.91 | $38.02 |
Emblem Health Setting Facility Modifier Global Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | Global | $34.67 | $34.67 | $34.67 |
Emblem Health Setting Professional Modifier Global Typical Low $18.20 Median $22.39 Typical High $31.62 | Professional | Global | $18.20 | $22.39 | $31.62 |
Geisinger Setting Professional Modifier Global Typical Low $15.49 Median $22.39 Typical High $42.66 | Professional | Global | $15.49 | $22.39 | $42.66 |
Highmark BCBS Setting Facility Modifier Global Typical Low $75.86 Median $120.23 Typical High $158.49 | Facility | Global | $75.86 | $120.23 | $158.49 |
Highmark BCBS Setting Professional Modifier Global Typical Low $15.85 Median $20.89 Typical High $79.43 | Professional | Global | $15.85 | $20.89 | $79.43 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $123.03 Median $218.78 Typical High $549.54 | Facility | Global | $123.03 | $218.78 | $549.54 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $15.49 Median $18.20 Typical High $45.71 | Professional | Global | $15.49 | $18.20 | $45.71 |
Martin's Point Setting Facility Modifier Global Typical Low $17.78 Median $138.04 Typical High $316.23 | Facility | Global | $17.78 | $138.04 | $316.23 |
Martin's Point Setting Professional Modifier Global Typical Low $13.18 Median $22.91 Typical High $54.95 | Professional | Global | $13.18 | $22.91 | $54.95 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $16.22 Median $16.22 Typical High $40.74 | Professional | 25 · Same-day visit | $16.22 | $16.22 | $40.74 |
Oscar Health Setting Facility Modifier Global Typical Low $1,047.13 Median $2,951.21 Typical High $3,715.35 | Facility | Global | $1,047.13 | $2,951.21 | $3,715.35 |
Oscar Health Setting Professional Modifier Global Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | Global | $34.67 | $34.67 | $36.31 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $30.20 Median $54.95 Typical High $89.13 | Facility | Global | $30.20 | $54.95 | $89.13 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $13.80 Median $14.13 Typical High $30.20 | Professional | Global | $13.80 | $14.13 | $30.20 |
United Setting Facility Modifier Global Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | Global | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier Global Typical Low $14.45 Median $21.38 Typical High $39.81 | Professional | Global | $14.45 | $21.38 | $39.81 |
Where Pennsylvania sits
The same service costs 2.8 times more in Wisconsin than in Washington, DC. 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· 25th of 51
$22.91
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.