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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above 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. Pick one to see its carriers and full range.
New York $50.12 · 18th of 51
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.