How much rates vary
Facilitymedian $158 · 10th to 90th $105 to $447Professionalmedian $174 · 10th to 90th $107 to $372
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 $104.71 Median $154.88 Typical High $446.68 | Facility | Global | $104.71 | $154.88 | $446.68 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $181.97 Median $354.81 Typical High $426.58 | Facility | 25 · Same-day visit | $181.97 | $354.81 | $426.58 |
Aetna Setting Professional Modifier Global Typical Low $107.15 Median $177.83 Typical High $380.19 | Professional | Global | $107.15 | $177.83 | $380.19 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $190.55 Typical High $436.52 | Professional | 25 · Same-day visit | $95.50 | $190.55 | $436.52 |
Ambetter Setting Professional Modifier Global Typical Low $114.82 Median $173.78 Typical High $269.15 | Professional | Global | $114.82 | $173.78 | $269.15 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $131.83 Median $173.78 Typical High $245.47 | Professional | 25 · Same-day visit | $131.83 | $173.78 | $245.47 |
AmeriHealth Setting Facility Modifier Global Typical Low $138.04 Median $138.04 Typical High $2,570.40 | Facility | Global | $138.04 | $138.04 | $2,570.40 |
AmeriHealth Setting Professional Modifier Global Typical Low $141.25 Median $158.49 Typical High $190.55 | Professional | Global | $141.25 | $158.49 | $190.55 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $8,511.38 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $8,511.38 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $48.98 Median $223.87 Typical High $302.00 | Professional | Global | $48.98 | $223.87 | $302.00 |
Cigna Setting Facility Modifier Global Typical Low $120.23 Median $158.49 Typical High $257.04 | Facility | Global | $120.23 | $158.49 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $120.23 Median $165.96 Typical High $269.15 | Professional | Global | $120.23 | $165.96 | $269.15 |
Emblem Health Setting Facility Modifier Global Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | Global | $263.03 | $263.03 | $263.03 |
Emblem Health Setting Professional Modifier Global Typical Low $77.62 Median $100.00 Typical High $354.81 | Professional | Global | $77.62 | $100.00 | $354.81 |
Geisinger Setting Facility Modifier Global Typical Low $134.90 Median $134.90 Typical High $158.49 | Facility | Global | $134.90 | $134.90 | $158.49 |
Geisinger Setting Professional Modifier Global Typical Low $134.90 Median $190.55 Typical High $316.23 | Professional | Global | $134.90 | $190.55 | $316.23 |
Highmark BCBS Setting Facility Modifier Global Typical Low $102.33 Median $331.13 Typical High $416.87 | Facility | Global | $102.33 | $331.13 | $416.87 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $295.12 Median $331.13 Typical High $660.69 | Facility | 25 · Same-day visit | $295.12 | $331.13 | $660.69 |
Highmark BCBS Setting Professional Modifier Global Typical Low $138.04 Median $177.83 Typical High $251.19 | Professional | Global | $138.04 | $177.83 | $251.19 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $141.25 Median $165.96 Typical High $229.09 | Professional | 25 · Same-day visit | $141.25 | $165.96 | $229.09 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $138.04 Median $177.83 Typical High $2,344.23 | Facility | Global | $138.04 | $177.83 | $2,344.23 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $141.25 Median $158.49 Typical High $190.55 | Professional | Global | $141.25 | $158.49 | $190.55 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | Global | $190.55 | $190.55 | $190.55 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | Global | $190.55 | $190.55 | $245.47 |
Martin's Point Setting Facility Modifier Global Typical Low $104.71 Median $158.49 Typical High $371.54 | Facility | Global | $104.71 | $158.49 | $371.54 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $181.97 Median $354.81 Typical High $588.84 | Facility | 25 · Same-day visit | $181.97 | $354.81 | $588.84 |
Martin's Point Setting Professional Modifier Global Typical Low $107.15 Median $165.96 Typical High $331.13 | Professional | Global | $107.15 | $165.96 | $331.13 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $97.72 Median $194.98 Typical High $457.09 | Professional | 25 · Same-day visit | $97.72 | $194.98 | $457.09 |
Optum Setting Professional Modifier Global Typical Low $89.13 Median $173.78 Typical High $208.93 | Professional | Global | $89.13 | $173.78 | $208.93 |
Oscar Health Setting Facility Modifier Global Typical Low $158.49 Median $229.09 Typical High $363.08 | Facility | Global | $158.49 | $229.09 | $363.08 |
Oscar Health Setting Professional Modifier Global Typical Low $107.15 Median $181.97 Typical High $338.84 | Professional | Global | $107.15 | $181.97 | $338.84 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $162.18 Median $295.12 Typical High $398.11 | Facility | Global | $162.18 | $295.12 | $398.11 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $125.89 Median $138.04 Typical High $165.96 | Professional | Global | $125.89 | $138.04 | $165.96 |
United Setting Facility Modifier Global Typical Low $95.50 Median $104.71 Typical High $208.93 | Facility | Global | $95.50 | $104.71 | $208.93 |
United Setting Professional Modifier Global Typical Low $100.00 Median $162.18 Typical High $309.03 | Professional | Global | $100.00 | $162.18 | $309.03 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $97.72 Typical High $323.59 | Professional | 25 · Same-day visit | $70.79 | $97.72 | $323.59 |
Where Pennsylvania 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.
Pennsylvania· 22nd of 51
$174
MN $200DC $135
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.