How much rates vary
Facilitymedian $47 · 10th to 90th $27 to $282Professionalmedian $50 · 10th to 90th $26 to $110
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 $26.92 Median $46.77 Typical High $281.84 | Facility | Global | $26.92 | $46.77 | $281.84 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $41.69 Median $295.12 Typical High $512.86 | Facility | 25 · Same-day visit | $41.69 | $295.12 | $512.86 |
Aetna Setting Professional Modifier Global Typical Low $27.54 Median $50.12 Typical High $109.65 | Professional | Global | $27.54 | $50.12 | $109.65 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $34.67 Median $61.66 Typical High $114.82 | Professional | 25 · Same-day visit | $34.67 | $61.66 | $114.82 |
Ambetter Setting Professional Modifier Global Typical Low $29.51 Median $52.48 Typical High $67.61 | Professional | Global | $29.51 | $52.48 | $67.61 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $42.66 Median $56.23 Typical High $67.61 | Professional | 25 · Same-day visit | $42.66 | $56.23 | $67.61 |
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 $36.31 Typical High $72.44 | Professional | Global | $0.79 | $36.31 | $72.44 |
CDPHP Setting Facility Modifier Global Typical Low $51.29 Median $51.29 Typical High $128.82 | Facility | Global | $51.29 | $51.29 | $128.82 |
CDPHP Setting Professional Modifier Global Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | Global | $51.29 | $51.29 | $79.43 |
Cigna Setting Facility Modifier Global Typical Low $50.12 Median $97.72 Typical High $245.47 | Facility | Global | $50.12 | $97.72 | $245.47 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 22 · Increased work | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 62 · Two surgeons | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | AS · PA/NP assist | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier Global Typical Low $30.90 Median $54.95 Typical High $112.20 | Professional | Global | $30.90 | $54.95 | $112.20 |
Emblem Health Setting Facility Modifier Global Typical Low $0.10 Median $0.10 Typical High $41.69 | Facility | Global | $0.10 | $0.10 | $41.69 |
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 $36.31 Median $50.12 Typical High $95.50 | Professional | Global | $36.31 | $50.12 | $95.50 |
Excellus BCBS Setting Facility Modifier Global Typical Low $35.48 Median $36.31 Typical High $63.10 | Facility | Global | $35.48 | $36.31 | $63.10 |
Excellus BCBS Setting Professional Modifier Global Typical Low $37.15 Median $56.23 Typical High $114.82 | Professional | Global | $37.15 | $56.23 | $114.82 |
Fidelis Setting Professional Modifier Global Typical Low $30.20 Median $38.02 Typical High $85.11 | Professional | Global | $30.20 | $38.02 | $85.11 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $26.92 Median $50.12 Typical High $74.13 | Professional | 25 · Same-day visit | $26.92 | $50.12 | $74.13 |
Highmark BCBS Setting Facility Modifier Global Typical Low $138.04 Median $141.25 Typical High $245.47 | Facility | Global | $138.04 | $141.25 | $245.47 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $199.53 Median $199.53 Typical High $251.19 | Facility | 25 · Same-day visit | $199.53 | $199.53 | $251.19 |
Highmark BCBS Setting Professional Modifier Global Typical Low $41.69 Median $57.54 Typical High $89.13 | Professional | Global | $41.69 | $57.54 | $89.13 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $47.86 Median $48.98 Typical High $74.13 | Professional | 25 · Same-day visit | $47.86 | $48.98 | $74.13 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 50 · Both sides | $56.23 | $56.23 | $56.23 |
MVP Health Care Setting Professional Modifier Global Typical Low $47.86 Median $63.10 Typical High $120.23 | Professional | Global | $47.86 | $63.10 | $120.23 |
Optum Setting Professional Modifier Global Typical Low $38.90 Median $56.23 Typical High $79.43 | Professional | Global | $38.90 | $56.23 | $79.43 |
United Setting Facility Modifier Global Typical Low $36.31 Median $64.57 Typical High $169.82 | Facility | Global | $36.31 | $64.57 | $169.82 |
United Setting Professional Modifier Global Typical Low $41.69 Median $50.12 Typical High $123.03 | Professional | Global | $41.69 | $50.12 | $123.03 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $54.95 Median $79.43 Typical High $100.00 | Professional | 25 · Same-day visit | $54.95 | $79.43 | $100.00 |
Univera Setting Facility Modifier Global Typical Low $12.30 Median $36.31 Typical High $63.10 | Facility | Global | $12.30 | $36.31 | $63.10 |
Univera Setting Professional Modifier Global Typical Low $38.02 Median $60.26 Typical High $97.72 | Professional | Global | $38.02 | $60.26 | $97.72 |
Where New York sits
The same service costs 1.6 times more in Minnesota than in Washington, DC. 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· 18th of 51
$50.12
MN $63.10DC $38.90
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.