How much rates vary
Facilitymedian $65 · 10th to 90th $30 to $537Professionalmedian $50 · 10th to 90th $29 to $100
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 $30.20 Median $64.57 Typical High $537.03 | Facility | Global | $30.20 | $64.57 | $537.03 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $67.61 Median $77.62 Typical High $151.36 | Facility | 25 · Same-day visit | $67.61 | $77.62 | $151.36 |
Aetna Setting Professional Modifier Global Typical Low $28.18 Median $50.12 Typical High $104.71 | Professional | Global | $28.18 | $50.12 | $104.71 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $34.67 Median $58.88 Typical High $104.71 | Professional | 25 · Same-day visit | $34.67 | $58.88 | $104.71 |
Ambetter Setting Professional Modifier Global Typical Low $29.51 Median $54.95 Typical High $83.18 | Professional | Global | $29.51 | $54.95 | $83.18 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $40.74 Median $56.23 Typical High $83.18 | Professional | 25 · Same-day visit | $40.74 | $56.23 | $83.18 |
AmeriHealth Setting Facility Modifier Global Typical Low $36.31 Median $36.31 Typical High $346.74 | Facility | Global | $36.31 | $36.31 | $346.74 |
AmeriHealth Setting Professional Modifier Global Typical Low $37.15 Median $50.12 Typical High $58.88 | Professional | Global | $37.15 | $50.12 | $58.88 |
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 $54.95 Median $61.66 Typical High $72.44 | Professional | Global | $54.95 | $61.66 | $72.44 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $61.66 Typical High $83.18 | Professional | 50 · Both sides | $51.29 | $61.66 | $83.18 |
Cigna Setting Facility Modifier Global Typical Low $50.12 Median $147.91 Typical High $257.04 | Facility | Global | $50.12 | $147.91 | $257.04 |
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 $26.92 Median $44.67 Typical High $79.43 | Professional | Global | $26.92 | $44.67 | $79.43 |
Emblem Health Setting Facility Modifier Global Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | Global | $69.18 | $69.18 | $69.18 |
Emblem Health Setting Professional Modifier Global Typical Low $30.90 Median $42.66 Typical High $109.65 | Professional | Global | $30.90 | $42.66 | $109.65 |
Geisinger Setting Facility Modifier Global Typical Low $34.67 Median $34.67 Typical High $41.69 | Facility | Global | $34.67 | $34.67 | $41.69 |
Geisinger Setting Professional Modifier Global Typical Low $34.67 Median $61.66 Typical High $97.72 | Professional | Global | $34.67 | $61.66 | $97.72 |
Highmark BCBS Setting Facility Modifier Global Typical Low $43.65 Median $131.83 Typical High $194.98 | Facility | Global | $43.65 | $131.83 | $194.98 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $43.65 Median $117.49 Typical High $194.98 | Facility | 25 · Same-day visit | $43.65 | $117.49 | $194.98 |
Highmark BCBS Setting Professional Modifier Global Typical Low $34.67 Median $57.54 Typical High $93.33 | Professional | Global | $34.67 | $57.54 | $93.33 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $34.67 Median $56.23 Typical High $87.10 | Professional | 25 · Same-day visit | $34.67 | $56.23 | $87.10 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $36.31 Median $36.31 Typical High $323.59 | Facility | Global | $36.31 | $36.31 | $323.59 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $38.90 Median $51.29 Typical High $58.88 | Professional | Global | $38.90 | $51.29 | $58.88 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | Global | $36.31 | $36.31 | $36.31 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $36.31 Median $36.31 Typical High $64.57 | Professional | Global | $36.31 | $36.31 | $64.57 |
Martin's Point Setting Facility Modifier Global Typical Low $29.51 Median $63.10 Typical High $467.74 | Facility | Global | $29.51 | $63.10 | $467.74 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $67.61 Median $79.43 Typical High $199.53 | Facility | 25 · Same-day visit | $67.61 | $79.43 | $199.53 |
Martin's Point Setting Professional Modifier Global Typical Low $28.84 Median $45.71 Typical High $91.20 | Professional | Global | $28.84 | $45.71 | $91.20 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $34.67 Median $60.26 Typical High $114.82 | Professional | 25 · Same-day visit | $34.67 | $60.26 | $114.82 |
Optum Setting Professional Modifier Global Typical Low $39.81 Median $54.95 Typical High $75.86 | Professional | Global | $39.81 | $54.95 | $75.86 |
Oscar Health Setting Facility Modifier Global Typical Low $109.65 Median $117.49 Typical High $158.49 | Facility | Global | $109.65 | $117.49 | $158.49 |
Oscar Health Setting Professional Modifier Global Typical Low $35.48 Median $57.54 Typical High $112.20 | Professional | Global | $35.48 | $57.54 | $112.20 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $45.71 Median $93.33 Typical High $131.83 | Facility | Global | $45.71 | $93.33 | $131.83 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $34.67 Median $53.70 Typical High $69.18 | Professional | Global | $34.67 | $53.70 | $69.18 |
United Setting Facility Modifier Global Typical Low $38.90 Median $69.18 Typical High $104.71 | Facility | Global | $38.90 | $69.18 | $104.71 |
United Setting Professional Modifier Global Typical Low $23.99 Median $44.67 Typical High $91.20 | Professional | Global | $23.99 | $44.67 | $91.20 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $79.43 Typical High $100.00 | Professional | 25 · Same-day visit | $70.79 | $79.43 | $100.00 |
Where Pennsylvania 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.
Pennsylvania· 19th 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.