How much rates vary
Facilitymedian $58 · 10th to 90th $10 to $162Professionalmedian $21 · 10th to 90th $7 to $42
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 $12.88 Median $58.88 Typical High $162.18 | Facility | Global | $12.88 | $58.88 | $162.18 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $64.57 Median $141.25 Typical High $794.33 | Facility | 25 · Same-day visit | $64.57 | $141.25 | $794.33 |
Aetna Setting Professional Modifier Global Typical Low $7.41 Median $20.42 Typical High $42.66 | Professional | Global | $7.41 | $20.42 | $42.66 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $16.98 Median $30.20 Typical High $45.71 | Professional | 25 · Same-day visit | $16.98 | $30.20 | $45.71 |
Ambetter Setting Professional Modifier Global Typical Low $7.59 Median $22.91 Typical High $36.31 | Professional | Global | $7.59 | $22.91 | $36.31 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $19.95 Median $23.44 Typical High $33.88 | Professional | 25 · Same-day visit | $19.95 | $23.44 | $33.88 |
AmeriHealth Setting Facility Modifier Global Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | Global | $8.91 | $8.91 | $8.91 |
AmeriHealth Setting Professional Modifier Global Typical Low $19.05 Median $22.39 Typical High $23.99 | Professional | Global | $19.05 | $22.39 | $23.99 |
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 $22.39 Median $33.11 Typical High $46.77 | Professional | Global | $22.39 | $33.11 | $46.77 |
Cigna Setting Facility Modifier Global Typical Low $27.54 Median $147.91 Typical High $257.04 | Facility | Global | $27.54 | $147.91 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $8.91 Median $20.89 Typical High $34.67 | Professional | Global | $8.91 | $20.89 | $34.67 |
Emblem Health Setting Facility Modifier Global Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | Global | $16.98 | $16.98 | $16.98 |
Emblem Health Setting Professional Modifier Global Typical Low $15.85 Median $21.88 Typical High $44.67 | Professional | Global | $15.85 | $21.88 | $44.67 |
Geisinger Setting Facility Modifier Global Typical Low $18.62 Median $18.62 Typical High $22.39 | Facility | Global | $18.62 | $18.62 | $22.39 |
Geisinger Setting Professional Modifier Global Typical Low $18.62 Median $25.70 Typical High $41.69 | Professional | Global | $18.62 | $25.70 | $41.69 |
Highmark BCBS Setting Facility Modifier Global Typical Low $21.88 Median $112.20 Typical High $154.88 | Facility | Global | $21.88 | $112.20 | $154.88 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $28.84 Median $75.86 Typical High $154.88 | Facility | 25 · Same-day visit | $28.84 | $75.86 | $154.88 |
Highmark BCBS Setting Professional Modifier Global Typical Low $14.45 Median $25.12 Typical High $37.15 | Professional | Global | $14.45 | $25.12 | $37.15 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $14.45 Median $22.91 Typical High $26.92 | Professional | 25 · Same-day visit | $14.45 | $22.91 | $26.92 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $8.91 Median $8.91 Typical High $25.12 | Facility | Global | $8.91 | $8.91 | $25.12 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $19.05 Median $22.39 Typical High $23.99 | Professional | Global | $19.05 | $22.39 | $23.99 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | Global | $13.18 | $13.18 | $13.18 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $13.18 Median $13.18 Typical High $30.20 | Professional | Global | $13.18 | $13.18 | $30.20 |
Martin's Point Setting Facility Modifier Global Typical Low $8.32 Median $58.88 Typical High $194.98 | Facility | Global | $8.32 | $58.88 | $194.98 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $64.57 Median $134.90 Typical High $758.58 | Facility | 25 · Same-day visit | $64.57 | $134.90 | $758.58 |
Martin's Point Setting Professional Modifier Global Typical Low $7.41 Median $19.95 Typical High $38.90 | Professional | Global | $7.41 | $19.95 | $38.90 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $16.98 Median $30.90 Typical High $48.98 | Professional | 25 · Same-day visit | $16.98 | $30.90 | $48.98 |
Optum Setting Professional Modifier Global Typical Low $22.91 Median $25.70 Typical High $41.69 | Professional | Global | $22.91 | $25.70 | $41.69 |
Oscar Health Setting Facility Modifier Global Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | Global | $158.49 | $158.49 | $158.49 |
Oscar Health Setting Professional Modifier Global Typical Low $8.91 Median $24.55 Typical High $46.77 | Professional | Global | $8.91 | $24.55 | $46.77 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $8.71 Median $22.39 Typical High $22.39 | Facility | Global | $8.71 | $22.39 | $22.39 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $8.71 Median $21.88 Typical High $44.67 | Professional | Global | $8.71 | $21.88 | $44.67 |
United Setting Facility Modifier Global Typical Low $22.39 Median $28.18 Typical High $104.71 | Facility | Global | $22.39 | $28.18 | $104.71 |
United Setting Professional Modifier Global Typical Low $8.32 Median $20.89 Typical High $44.67 | Professional | Global | $8.32 | $20.89 | $44.67 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $24.55 Median $28.84 Typical High $79.43 | Professional | 25 · Same-day visit | $24.55 | $28.84 | $79.43 |
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· 17th of 51
$21.38
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.