How much rates vary
Facilitymedian $112 · 10th to 90th $39 to $759Professionalmedian $25 · 10th to 90th $13 to $71
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 $39.81 Median $109.65 Typical High $562.34 | Facility | Global | $39.81 | $109.65 | $562.34 |
Aetna Setting Professional Modifier Global Typical Low $13.18 Median $25.12 Typical High $70.79 | Professional | Global | $13.18 | $25.12 | $70.79 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | 25 · Same-day visit | $23.99 | $38.90 | $38.90 |
Ambetter Setting Professional Modifier Global Typical Low $12.88 Median $23.44 Typical High $28.84 | Professional | Global | $12.88 | $23.44 | $28.84 |
AmeriHealth Setting Facility Modifier Global Typical Low $14.79 Median $1,071.52 Typical High $2,238.72 | Facility | Global | $14.79 | $1,071.52 | $2,238.72 |
AmeriHealth Setting Professional Modifier Global Typical Low $12.59 Median $22.91 Typical High $23.44 | Professional | Global | $12.59 | $22.91 | $23.44 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $208.93 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $208.93 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $15.49 Median $20.89 Typical High $36.31 | Professional | Global | $15.49 | $20.89 | $36.31 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $13.18 Median $15.49 Typical High $36.31 | Professional | 50 · Both sides | $13.18 | $15.49 | $36.31 |
Cigna Setting Facility Modifier Global Typical Low $31.62 Median $158.49 Typical High $190.55 | Facility | Global | $31.62 | $158.49 | $190.55 |
Cigna Setting Professional Modifier Global Typical Low $13.18 Median $25.12 Typical High $36.31 | Professional | Global | $13.18 | $25.12 | $36.31 |
Geisinger Setting Facility Modifier Global Typical Low $19.95 Median $19.95 Typical High $23.99 | Facility | Global | $19.95 | $19.95 | $23.99 |
Geisinger Setting Professional Modifier Global Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | Global | $21.88 | $25.12 | $25.12 |
Highmark BCBS Setting Facility Modifier Global Typical Low $93.33 Median $158.49 Typical High $251.19 | Facility | Global | $93.33 | $158.49 | $251.19 |
Highmark BCBS Setting Professional Modifier Global Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | Global | $37.15 | $37.15 | $37.15 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $14.79 Median $1,071.52 Typical High $2,238.72 | Facility | Global | $14.79 | $1,071.52 | $2,238.72 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $14.79 Median $22.91 Typical High $23.44 | Professional | Global | $14.79 | $22.91 | $23.44 |
Martin's Point Setting Facility Modifier Global Typical Low $40.74 Median $114.82 Typical High $758.58 | Facility | Global | $40.74 | $114.82 | $758.58 |
Martin's Point Setting Professional Modifier Global Typical Low $13.18 Median $23.44 Typical High $67.61 | Professional | Global | $13.18 | $23.44 | $67.61 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $23.99 Median $23.99 Typical High $38.90 | Professional | 25 · Same-day visit | $23.99 | $23.99 | $38.90 |
Optum Setting Professional Modifier Global Typical Low $21.88 Median $22.91 Typical High $25.12 | Professional | Global | $21.88 | $22.91 | $25.12 |
Oscar Health Setting Professional Modifier Global Typical Low $21.88 Median $22.91 Typical High $25.12 | Professional | Global | $21.88 | $22.91 | $25.12 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $26.92 Median $54.95 Typical High $93.33 | Facility | Global | $26.92 | $54.95 | $93.33 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $13.80 Median $23.44 Typical High $25.12 | Professional | Global | $13.80 | $23.44 | $25.12 |
United Setting Facility Modifier Global Typical Low $100.00 Median $173.78 Typical High $239.88 | Facility | Global | $100.00 | $173.78 | $239.88 |
United Setting Professional Modifier Global Typical Low $13.80 Median $21.88 Typical High $30.20 | Professional | Global | $13.80 | $21.88 | $30.20 |
Where Pennsylvania sits
The same service costs 9.1 times more in Washington, DC than in Vermont. 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· 31st of 51
$40.74
DC $151VT $16.60
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.