How much rates vary
Facilitymedian $182 · 10th to 90th $141 to $447Professionalmedian $229 · 10th to 90th $145 to $525
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 $141.25 Median $181.97 Typical High $446.68 | Facility | Global | $141.25 | $181.97 | $446.68 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $112.20 Median $436.52 Typical High $436.52 | Facility | 25 · Same-day visit | $112.20 | $436.52 | $436.52 |
Aetna Setting Professional Modifier Global Typical Low $144.54 Median $229.09 Typical High $549.54 | Professional | Global | $144.54 | $229.09 | $549.54 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $165.96 Median $269.15 Typical High $562.34 | Professional | 25 · Same-day visit | $165.96 | $269.15 | $562.34 |
Ambetter Setting Professional Modifier Global Typical Low $158.49 Median $229.09 Typical High $354.81 | Professional | Global | $158.49 | $229.09 | $354.81 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $177.83 Median $229.09 Typical High $288.40 | Professional | 25 · Same-day visit | $177.83 | $229.09 | $288.40 |
AmeriHealth Setting Facility Modifier Global Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | Global | $186.21 | $186.21 | $186.21 |
AmeriHealth Setting Professional Modifier Global Typical Low $190.55 Median $204.17 Typical High $251.19 | Professional | Global | $190.55 | $204.17 | $251.19 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | Global | $234.42 | $234.42 | $234.42 |
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 $158.49 Median $213.80 Typical High $354.81 | Professional | Global | $158.49 | $213.80 | $354.81 |
Emblem Health Setting Facility Modifier Global Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | Global | $363.08 | $363.08 | $363.08 |
Emblem Health Setting Professional Modifier Global Typical Low $95.50 Median $104.71 Typical High $478.63 | Professional | Global | $95.50 | $104.71 | $478.63 |
Geisinger Setting Facility Modifier Global Typical Low $165.96 Median $165.96 Typical High $199.53 | Facility | Global | $165.96 | $165.96 | $199.53 |
Geisinger Setting Professional Modifier Global Typical Low $165.96 Median $257.04 Typical High $398.11 | Professional | Global | $165.96 | $257.04 | $398.11 |
Highmark BCBS Setting Facility Modifier Global Typical Low $346.74 Median $457.09 Typical High $794.33 | Facility | Global | $346.74 | $457.09 | $794.33 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $83.18 Median $380.19 Typical High $501.19 | Facility | 25 · Same-day visit | $83.18 | $380.19 | $501.19 |
Highmark BCBS Setting Professional Modifier Global Typical Low $177.83 Median $229.09 Typical High $338.84 | Professional | Global | $177.83 | $229.09 | $338.84 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $190.55 Median $218.78 Typical High $295.12 | Professional | 25 · Same-day visit | $190.55 | $218.78 | $295.12 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $186.21 Median $186.21 Typical High $4,168.69 | Facility | Global | $186.21 | $186.21 | $4,168.69 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $190.55 Median $234.42 Typical High $251.19 | Professional | Global | $190.55 | $234.42 | $251.19 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | Global | $245.47 | $245.47 | $245.47 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | Global | $245.47 | $245.47 | $302.00 |
Martin's Point Setting Facility Modifier Global Typical Low $144.54 Median $194.98 Typical High $446.68 | Facility | Global | $144.54 | $194.98 | $446.68 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $112.20 Median $436.52 Typical High $501.19 | Facility | 25 · Same-day visit | $112.20 | $436.52 | $501.19 |
Martin's Point Setting Professional Modifier Global Typical Low $144.54 Median $213.80 Typical High $436.52 | Professional | Global | $144.54 | $213.80 | $436.52 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $165.96 Median $275.42 Typical High $645.65 | Professional | 25 · Same-day visit | $165.96 | $275.42 | $645.65 |
Optum Setting Professional Modifier Global Typical Low $104.71 Median $229.09 Typical High $269.15 | Professional | Global | $104.71 | $229.09 | $269.15 |
Oscar Health Setting Professional Modifier Global Typical Low $134.90 Median $234.42 Typical High $446.68 | Professional | Global | $134.90 | $234.42 | $446.68 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $204.17 Median $354.81 Typical High $489.78 | Facility | Global | $204.17 | $354.81 | $489.78 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $165.96 Median $190.55 Typical High $213.80 | Professional | Global | $165.96 | $190.55 | $213.80 |
United Setting Facility Modifier Global Typical Low $104.71 Median $123.03 Typical High $275.42 | Facility | Global | $104.71 | $123.03 | $275.42 |
United Setting Professional Modifier Global Typical Low $128.82 Median $204.17 Typical High $380.19 | Professional | Global | $128.82 | $204.17 | $380.19 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $89.13 Typical High $457.09 | Professional | 25 · Same-day visit | $75.86 | $89.13 | $457.09 |
Where Pennsylvania sits
The same service costs 1.7 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.
Pennsylvania· 16th of 51
$229
MN $295DE $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.