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 Professional Modifier Global Typical Low $20.89 Median $25.70 Typical High $57.54 | Professional | Global | $20.89 | $25.70 | $57.54 |
Ambetter Setting Professional Modifier Global Typical Low $31.62 Median $35.48 Typical High $60.26 | Professional | Global | $31.62 | $35.48 | $60.26 |
AmeriHealth Setting Professional Modifier Global Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | Global | $27.54 | $27.54 | $28.84 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $22.91 Median $27.54 Typical High $67.61 | Professional | Global | $22.91 | $27.54 | $67.61 |
Cigna Setting Facility Modifier Global Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | Global | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier Global Typical Low $25.70 Median $40.74 Typical High $63.10 | Professional | Global | $25.70 | $40.74 | $63.10 |
Geisinger Setting Professional Modifier Global Typical Low $21.88 Median $25.12 Typical High $44.67 | Professional | Global | $21.88 | $25.12 | $44.67 |
Highmark BCBS Setting Professional Modifier Global Typical Low $28.18 Median $32.36 Typical High $33.11 | Professional | Global | $28.18 | $32.36 | $33.11 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 25 · Same-day visit | $31.62 | $31.62 | $31.62 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | Global | $27.54 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier Global Typical Low $22.91 Median $22.91 Typical High $34.67 | Professional | Global | $22.91 | $22.91 | $34.67 |
Optum Setting Professional Modifier Global Typical Low $30.20 Median $30.90 Typical High $39.81 | Professional | Global | $30.20 | $30.90 | $39.81 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $30.90 Median $38.90 Typical High $39.81 | Professional | Global | $30.90 | $38.90 | $39.81 |
United Setting Professional Modifier Global Typical Low $28.84 Median $34.67 Typical High $47.86 | Professional | Global | $28.84 | $34.67 | $47.86 |
Where Pennsylvania sits
The same service costs 2.7 times more in Alaska than in Tennessee. 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· 39th of 51
$26.92
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.