How much rates vary
Professionalmedian $63 · 10th to 90th $37 to $214
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 $10.72 Median $12.02 Typical High $18.62 | Facility | 26 · Professional part | $10.72 | $12.02 | $18.62 |
Aetna Setting Professional Modifier Global Typical Low $36.31 Median $63.10 Typical High $173.78 | Professional | Global | $36.31 | $63.10 | $173.78 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $13.80 Median $125.89 Typical High $125.89 | Professional | 25 · Same-day visit | $13.80 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $39.81 | Professional | 26 · Professional part | $9.55 | $13.80 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $42.66 | $74.13 |
Ambetter Setting Professional Modifier Global Typical Low $36.31 Median $40.74 Typical High $47.86 | Professional | Global | $36.31 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $9.77 | $15.85 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier Global Typical Low $33.88 Median $42.66 Typical High $114.82 | Professional | Global | $33.88 | $42.66 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $22.91 | Professional | 26 · Professional part | $8.32 | $10.23 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $31.62 | $83.18 |
CDPHP Setting Professional Modifier Global Typical Low $14.79 Median $50.12 Typical High $64.57 | Professional | Global | $14.79 | $50.12 | $64.57 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.63 Median $12.30 Typical High $17.38 | Facility | 26 · Professional part | $2.63 | $12.30 | $17.38 |
Cigna Setting Professional Modifier Global Typical Low $44.67 Median $77.62 Typical High $181.97 | Professional | Global | $44.67 | $77.62 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $37.15 | Professional | 26 · Professional part | $11.22 | $18.20 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $60.26 | $131.83 |
Emblem Health Setting Professional Modifier Global Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | Global | $50.12 | $64.57 | $91.20 |
Emblem Health 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 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $51.29 | $72.44 |
Excellus BCBS Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Excellus BCBS Setting Professional Modifier Global Typical Low $30.20 Median $48.98 Typical High $81.28 | Professional | Global | $30.20 | $48.98 | $81.28 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $12.59 | $21.38 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $35.48 | $60.26 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $11.22 | $16.60 |
Highmark BCBS Setting Professional Modifier Global Typical Low $41.69 Median $61.66 Typical High $93.33 | Professional | Global | $41.69 | $61.66 | $93.33 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $14.13 | $24.55 |
MVP Health Care Setting Professional Modifier Global Typical Low $63.10 Median $81.28 Typical High $131.83 | Professional | Global | $63.10 | $81.28 | $131.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $17.78 | $26.92 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $61.66 | $87.10 |
United Setting Professional Modifier Global Typical Low $46.77 Median $66.07 Typical High $436.52 | Professional | Global | $46.77 | $66.07 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $138.04 | Professional | 26 · Professional part | $11.22 | $16.22 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $302.00 | Professional | TC · Technical part | $35.48 | $50.12 | $302.00 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $57.54 | Facility | 26 · Professional part | $8.32 | $12.59 | $57.54 |
Univera Setting Professional Modifier Global Typical Low $31.62 Median $48.98 Typical High $97.72 | Professional | Global | $31.62 | $48.98 | $97.72 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $8.32 | $12.59 | $25.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $35.48 | $72.44 |
Where New York sits
The same service costs 2.5 times more in South Dakota than in Texas. 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.
New York· 27th of 51
$63.10
SD $102TX $41.69
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.