How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $55Professionalmedian $6 · 10th to 90th $4 to $18
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 $41.69 Median $41.69 Typical High $47.86 | Facility | Global | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier Global Typical Low $4.37 Median $6.92 Typical High $22.39 | Professional | Global | $4.37 | $6.92 | $22.39 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $5.50 Median $5.50 Typical High $6.31 | Professional | 25 · Same-day visit | $5.50 | $5.50 | $6.31 |
Ambetter Setting Professional Modifier Global Typical Low $3.80 Median $4.90 Typical High $7.59 | Professional | Global | $3.80 | $4.90 | $7.59 |
AmeriHealth Setting Professional Modifier Global Typical Low $4.37 Median $4.37 Typical High $5.13 | Professional | Global | $4.37 | $4.37 | $5.13 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $4.47 Median $6.76 Typical High $10.96 | Professional | Global | $4.47 | $6.76 | $10.96 |
Cigna Setting Facility Modifier Global Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | Global | $7.76 | $7.76 | $7.76 |
Cigna Setting Professional Modifier Global Typical Low $3.02 Median $5.01 Typical High $7.94 | Professional | Global | $3.02 | $5.01 | $7.94 |
Emblem Health Setting Professional Modifier Global Typical Low $4.57 Median $5.62 Typical High $8.71 | Professional | Global | $4.57 | $5.62 | $8.71 |
Geisinger Setting Facility Modifier Global Typical Low $5.13 Median $5.13 Typical High $5.37 | Facility | Global | $5.13 | $5.13 | $5.37 |
Geisinger Setting Professional Modifier Global Typical Low $3.63 Median $5.25 Typical High $9.12 | Professional | Global | $3.63 | $5.25 | $9.12 |
Highmark BCBS Setting Professional Modifier Global Typical Low $5.62 Median $6.31 Typical High $7.94 | Professional | Global | $5.62 | $6.31 | $7.94 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $4.37 Median $5.13 Typical High $5.13 | Professional | Global | $4.37 | $5.13 | $5.13 |
Martin's Point Setting Facility Modifier Global Typical Low $41.69 Median $41.69 Typical High $47.86 | Facility | Global | $41.69 | $41.69 | $47.86 |
Martin's Point Setting Professional Modifier Global Typical Low $4.37 Median $6.17 Typical High $15.49 | Professional | Global | $4.37 | $6.17 | $15.49 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $5.50 Median $5.50 Typical High $6.31 | Professional | 25 · Same-day visit | $5.50 | $5.50 | $6.31 |
Optum Setting Professional Modifier Global Typical Low $4.79 Median $6.03 Typical High $6.76 | Professional | Global | $4.79 | $6.03 | $6.76 |
Oscar Health Setting Facility Modifier Global Typical Low $54.95 Median $54.95 Typical High $177.83 | Facility | Global | $54.95 | $54.95 | $177.83 |
Oscar Health Setting Professional Modifier Global Typical Low $3.02 Median $6.31 Typical High $6.76 | Professional | Global | $3.02 | $6.31 | $6.76 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $4.37 Median $4.47 Typical High $6.03 | Professional | Global | $4.37 | $4.47 | $6.03 |
United Setting Facility Modifier Global Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | Global | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier Global Typical Low $4.27 Median $6.03 Typical High $12.59 | Professional | Global | $4.27 | $6.03 | $12.59 |
Where Pennsylvania sits
The same service costs 1.8 times more in North Dakota 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· 21st of 51
$6.17
ND $8.91DC $4.90
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.