How much rates vary
Facilitymedian $20 · 10th to 90th $7 to $257Professionalmedian $22 · 10th to 90th $7 to $47
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 $6.76 Median $19.95 Typical High $257.04 | Facility | Global | $6.76 | $19.95 | $257.04 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $60.26 Median $457.09 Typical High $933.25 | Facility | 25 · Same-day visit | $60.26 | $457.09 | $933.25 |
Aetna Setting Professional Modifier Global Typical Low $7.41 Median $20.42 Typical High $44.67 | Professional | Global | $7.41 | $20.42 | $44.67 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $16.98 Median $30.90 Typical High $74.13 | Professional | 25 · Same-day visit | $16.98 | $30.90 | $74.13 |
Ambetter Setting Professional Modifier Global Typical Low $7.59 Median $22.91 Typical High $28.84 | Professional | Global | $7.59 | $22.91 | $28.84 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $19.95 Median $23.44 Typical High $26.30 | Professional | 25 · Same-day visit | $19.95 | $23.44 | $26.30 |
Anthem BCBS Setting Facility Modifier Global Typical Low $257.04 Median $371.54 Typical High $398.11 | Facility | Global | $257.04 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier Global Typical Low $0.79 Median $16.60 Typical High $33.88 | Professional | Global | $0.79 | $16.60 | $33.88 |
CDPHP Setting Facility Modifier Global Typical Low $12.59 Median $12.59 Typical High $128.82 | Facility | Global | $12.59 | $12.59 | $128.82 |
CDPHP Setting Professional Modifier Global Typical Low $12.59 Median $12.59 Typical High $31.62 | Professional | Global | $12.59 | $12.59 | $31.62 |
Cigna Setting Facility Modifier Global Typical Low $27.54 Median $109.65 Typical High $245.47 | Facility | Global | $27.54 | $109.65 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $9.77 Median $23.44 Typical High $47.86 | Professional | Global | $9.77 | $23.44 | $47.86 |
Emblem Health Setting Facility Modifier Global Typical Low $0.10 Median $0.10 Typical High $25.12 | Facility | Global | $0.10 | $0.10 | $25.12 |
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 $18.20 Median $23.99 Typical High $41.69 | Professional | Global | $18.20 | $23.99 | $41.69 |
Excellus BCBS Setting Facility Modifier Global Typical Low $20.42 Median $20.42 Typical High $36.31 | Facility | Global | $20.42 | $20.42 | $36.31 |
Excellus BCBS Setting Professional Modifier Global Typical Low $17.78 Median $25.70 Typical High $48.98 | Professional | Global | $17.78 | $25.70 | $48.98 |
Fidelis Setting Professional Modifier Global Typical Low $14.79 Median $22.39 Typical High $44.67 | Professional | Global | $14.79 | $22.39 | $44.67 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $21.38 Median $23.44 Typical High $30.20 | Professional | 25 · Same-day visit | $21.38 | $23.44 | $30.20 |
Highmark BCBS Setting Facility Modifier Global Typical Low $27.54 Median $50.12 Typical High $107.15 | Facility | Global | $27.54 | $50.12 | $107.15 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $83.18 Median $83.18 Typical High $102.33 | Facility | 25 · Same-day visit | $83.18 | $83.18 | $102.33 |
Highmark BCBS Setting Professional Modifier Global Typical Low $20.89 Median $27.54 Typical High $56.23 | Professional | Global | $20.89 | $27.54 | $56.23 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $21.38 Median $21.88 Typical High $34.67 | Professional | 25 · Same-day visit | $21.38 | $21.88 | $34.67 |
MVP Health Care Setting Professional Modifier Global Typical Low $25.12 Median $31.62 Typical High $51.29 | Professional | Global | $25.12 | $31.62 | $51.29 |
Optum Setting Professional Modifier Global Typical Low $22.39 Median $26.92 Typical High $44.67 | Professional | Global | $22.39 | $26.92 | $44.67 |
United Setting Facility Modifier Global Typical Low $20.89 Median $37.15 Typical High $169.82 | Facility | Global | $20.89 | $37.15 | $169.82 |
United Setting Professional Modifier Global Typical Low $20.89 Median $25.70 Typical High $66.07 | Professional | Global | $20.89 | $25.70 | $66.07 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $24.55 Median $33.11 Typical High $79.43 | Professional | 25 · Same-day visit | $24.55 | $33.11 | $79.43 |
Univera Setting Facility Modifier Global Typical Low $8.91 Median $20.42 Typical High $51.29 | Facility | Global | $8.91 | $20.42 | $51.29 |
Univera Setting Professional Modifier Global Typical Low $17.78 Median $24.55 Typical High $45.71 | Professional | Global | $17.78 | $24.55 | $45.71 |
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· 13th of 51
$21.88
CA $24.55AL $17.38
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.