How much rates vary
Facilitymedian $95 · 10th to 90th $60 to $479Professionalmedian $112 · 10th to 90th $55 to $282
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 $61.66 Median $95.50 Typical High $478.63 | Facility | Global | $61.66 | $95.50 | $478.63 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $251.19 Median $478.63 Typical High $1,000.00 | Facility | 25 · Same-day visit | $251.19 | $478.63 | $1,000.00 |
Aetna Setting Professional Modifier Global Typical Low $66.07 Median $114.82 Typical High $288.40 | Professional | Global | $66.07 | $114.82 | $288.40 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $66.07 Median $123.03 Typical High $331.13 | Professional | 25 · Same-day visit | $66.07 | $123.03 | $331.13 |
Ambetter Setting Professional Modifier Global Typical Low $70.79 Median $112.20 Typical High $144.54 | Professional | Global | $70.79 | $112.20 | $144.54 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $91.20 Median $112.20 Typical High $154.88 | Professional | 25 · Same-day visit | $91.20 | $112.20 | $154.88 |
Anthem BCBS Setting Facility Modifier Global Typical Low $302.00 Median $512.86 Typical High $549.54 | Facility | Global | $302.00 | $512.86 | $549.54 |
Anthem BCBS Setting Professional Modifier Global Typical Low $0.79 Median $85.11 Typical High $165.96 | Professional | Global | $0.79 | $85.11 | $165.96 |
CDPHP Setting Facility Modifier Global Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | Global | $117.49 | $117.49 | $117.49 |
CDPHP Setting Professional Modifier Global Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | Global | $117.49 | $117.49 | $158.49 |
Cigna Setting Facility Modifier Global Typical Low $109.65 Median $134.90 Typical High $245.47 | Facility | Global | $109.65 | $134.90 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $85.11 Median $128.82 Typical High $251.19 | Professional | Global | $85.11 | $128.82 | $251.19 |
Emblem Health Setting Facility Modifier Global Typical Low $0.10 Median $0.10 Typical High $89.13 | Facility | Global | $0.10 | $0.10 | $89.13 |
Emblem Health Setting Professional Modifier Global Typical Low $54.95 Median $79.43 Typical High $199.53 | Professional | Global | $54.95 | $79.43 | $199.53 |
Excellus BCBS Setting Facility Modifier Global Typical Low $36.31 Median $40.74 Typical High $125.89 | Facility | Global | $36.31 | $40.74 | $125.89 |
Excellus BCBS Setting Professional Modifier Global Typical Low $79.43 Median $109.65 Typical High $223.87 | Professional | Global | $79.43 | $109.65 | $223.87 |
Fidelis Setting Professional Modifier Global Typical Low $44.67 Median $141.25 Typical High $190.55 | Professional | Global | $44.67 | $141.25 | $190.55 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $81.28 Median $131.83 Typical High $173.78 | Professional | 25 · Same-day visit | $81.28 | $131.83 | $173.78 |
Highmark BCBS Setting Facility Modifier Global Typical Low $218.78 Median $218.78 Typical High $489.78 | Facility | Global | $218.78 | $218.78 | $489.78 |
Highmark BCBS Setting Professional Modifier Global Typical Low $117.49 Median $141.25 Typical High $213.80 | Professional | Global | $117.49 | $141.25 | $213.80 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $114.82 Median $138.04 Typical High $199.53 | Professional | 25 · Same-day visit | $114.82 | $138.04 | $199.53 |
MVP Health Care Setting Professional Modifier Global Typical Low $112.20 Median $147.91 Typical High $251.19 | Professional | Global | $112.20 | $147.91 | $251.19 |
Optum Setting Professional Modifier Global Typical Low $48.98 Median $117.49 Typical High $158.49 | Professional | Global | $48.98 | $117.49 | $158.49 |
United Setting Facility Modifier Global Typical Low $44.67 Median $100.00 Typical High $169.82 | Facility | Global | $44.67 | $100.00 | $169.82 |
United Setting Professional Modifier Global Typical Low $30.90 Median $91.20 Typical High $309.03 | Professional | Global | $30.90 | $91.20 | $309.03 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $97.72 Median $100.00 Typical High $134.90 | Professional | 25 · Same-day visit | $97.72 | $100.00 | $134.90 |
Univera Setting Facility Modifier Global Typical Low $36.31 Median $64.57 Typical High $138.04 | Facility | Global | $36.31 | $64.57 | $138.04 |
Univera Setting Professional Modifier Global Typical Low $79.43 Median $114.82 Typical High $204.17 | Professional | Global | $79.43 | $114.82 | $204.17 |
Where New York sits
The same service costs 1.5 times more in Minnesota than in Delaware. 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· 20th of 51
$112
MN $138DE $89.13
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.