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. 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 $91.20 Median $138.04 Typical High $467.74 | Facility | Global | $91.20 | $138.04 | $467.74 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $223.87 Median $436.52 Typical High $870.96 | Facility | 25 · Same-day visit | $223.87 | $436.52 | $870.96 |
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $177.83 Typical High $436.52 | Professional | Global | $104.71 | $177.83 | $436.52 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $194.98 Typical High $501.19 | Professional | 25 · Same-day visit | $95.50 | $194.98 | $501.19 |
Ambetter Setting Professional Modifier Global Typical Low $107.15 Median $165.96 Typical High $218.78 | Professional | Global | $107.15 | $165.96 | $218.78 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $120.23 Median $169.82 Typical High $204.17 | Professional | 25 · Same-day visit | $120.23 | $169.82 | $204.17 |
Anthem BCBS Setting Facility Modifier Global Typical Low $812.83 Median $912.01 Typical High $977.24 | Facility | Global | $812.83 | $912.01 | $977.24 |
Anthem BCBS Setting Professional Modifier Global Typical Low $0.79 Median $112.20 Typical High $251.19 | Professional | Global | $0.79 | $112.20 | $251.19 |
CDPHP Setting Facility Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | Global | $190.55 | $190.55 | $190.55 |
CDPHP Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | Global | $190.55 | $190.55 | $234.42 |
Cigna Setting Facility Modifier Global Typical Low $141.25 Median $190.55 Typical High $245.47 | Facility | Global | $141.25 | $190.55 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $128.82 Median $199.53 Typical High $380.19 | Professional | Global | $128.82 | $199.53 | $380.19 |
Emblem Health Setting Facility Modifier Global Typical Low $0.10 Median $0.10 Typical High $147.91 | Facility | Global | $0.10 | $0.10 | $147.91 |
Emblem Health Setting Facility Modifier 25 · Same-day visit Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | 25 · Same-day visit | $0.10 | $0.10 | $0.10 |
Emblem Health Setting Professional Modifier Global Typical Low $89.13 Median $104.71 Typical High $295.12 | Professional | Global | $89.13 | $104.71 | $295.12 |
Excellus BCBS Setting Facility Modifier Global Typical Low $36.31 Median $45.71 Typical High $186.21 | Facility | Global | $36.31 | $45.71 | $186.21 |
Excellus BCBS Setting Professional Modifier Global Typical Low $120.23 Median $169.82 Typical High $338.84 | Professional | Global | $120.23 | $169.82 | $338.84 |
Fidelis Setting Professional Modifier Global Typical Low $102.33 Median $173.78 Typical High $213.80 | Professional | Global | $102.33 | $173.78 | $213.80 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $128.82 Median $158.49 Typical High $288.40 | Professional | 25 · Same-day visit | $128.82 | $158.49 | $288.40 |
Highmark BCBS Setting Facility Modifier Global Typical Low $281.84 Median $295.12 Typical High $741.31 | Facility | Global | $281.84 | $295.12 | $741.31 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $575.44 Median $575.44 Typical High $724.44 | Facility | 25 · Same-day visit | $575.44 | $575.44 | $724.44 |
Highmark BCBS Setting Professional Modifier Global Typical Low $173.78 Median $213.80 Typical High $275.42 | Professional | Global | $173.78 | $213.80 | $275.42 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $173.78 Median $213.80 Typical High $275.42 | Professional | 25 · Same-day visit | $173.78 | $213.80 | $275.42 |
MVP Health Care Setting Professional Modifier Global Typical Low $169.82 Median $223.87 Typical High $380.19 | Professional | Global | $169.82 | $223.87 | $380.19 |
Optum Setting Professional Modifier Global Typical Low $75.86 Median $181.97 Typical High $245.47 | Professional | Global | $75.86 | $181.97 | $245.47 |
United Setting Facility Modifier Global Typical Low $74.13 Median $131.83 Typical High $190.55 | Facility | Global | $74.13 | $131.83 | $190.55 |
United Setting Professional Modifier Global Typical Low $44.67 Median $123.03 Typical High $446.68 | Professional | Global | $44.67 | $123.03 | $446.68 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $131.83 Typical High $323.59 | Professional | 25 · Same-day visit | $79.43 | $131.83 | $323.59 |
Univera Setting Facility Modifier Global Typical Low $36.31 Median $109.65 Typical High $199.53 | Facility | Global | $36.31 | $109.65 | $199.53 |
Univera Setting Professional Modifier Global Typical Low $125.89 Median $181.97 Typical High $331.13 | Professional | Global | $125.89 | $181.97 | $331.13 |
Where New York sits
Rates are fairly even across states for this service. 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· 23rd of 51
$174
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.