How much rates vary
Facilitymedian $76 · 10th to 90th $52 to $219Professionalmedian $93 · 10th to 90th $56 to $229
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 $57.54 Median $91.20 Typical High $281.84 | Facility | Global | $57.54 | $91.20 | $281.84 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $114.82 Median $229.09 Typical High $338.84 | Facility | 25 · Same-day visit | $114.82 | $229.09 | $338.84 |
Aetna Setting Professional Modifier Global Typical Low $56.23 Median $93.33 Typical High $229.09 | Professional | Global | $56.23 | $93.33 | $229.09 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $54.95 Median $93.33 Typical High $245.47 | Professional | 25 · Same-day visit | $54.95 | $93.33 | $245.47 |
Ambetter Setting Professional Modifier Global Typical Low $56.23 Median $89.13 Typical High $134.90 | Professional | Global | $56.23 | $89.13 | $134.90 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $93.33 Typical High $138.04 | Professional | 25 · Same-day visit | $70.79 | $93.33 | $138.04 |
Anthem BCBS Setting Facility Modifier Global Typical Low $54.95 Median $69.18 Typical High $75.86 | Facility | Global | $54.95 | $69.18 | $75.86 |
Anthem BCBS Setting Professional Modifier Global Typical Low $53.70 Median $79.43 Typical High $138.04 | Professional | Global | $53.70 | $79.43 | $138.04 |
Blue Shield Setting Facility Modifier Global Typical Low $79.43 Median $85.11 Typical High $87.10 | Facility | Global | $79.43 | $85.11 | $87.10 |
Blue Shield Setting Professional Modifier Global Typical Low $72.44 Median $97.72 Typical High $151.36 | Professional | Global | $72.44 | $97.72 | $151.36 |
Cigna Setting Facility Modifier Global Typical Low $109.65 Median $151.36 Typical High $229.09 | Facility | Global | $109.65 | $151.36 | $229.09 |
Cigna Setting Professional Modifier Global Typical Low $52.48 Median $85.11 Typical High $162.18 | Professional | Global | $52.48 | $85.11 | $162.18 |
Contra Costa Health Setting Professional Modifier Global Typical Low $23.99 Median $64.57 Typical High $131.83 | Professional | Global | $23.99 | $64.57 | $131.83 |
HealthNet Setting Professional Modifier Global Typical Low $89.13 Median $134.90 Typical High $275.42 | Professional | Global | $89.13 | $134.90 | $275.42 |
HealthNet Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $194.98 Typical High $251.19 | Professional | 25 · Same-day visit | $79.43 | $194.98 | $251.19 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $56.23 Median $95.50 Typical High $173.78 | Professional | Global | $56.23 | $95.50 | $173.78 |
Lucent Health Setting Facility Modifier Global Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | Global | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Facility Modifier 62 · Two surgeons Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 62 · Two surgeons | $257.04 | $257.04 | $257.04 |
Lucent Health Setting Facility Modifier AS · PA/NP assist Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | AS · PA/NP assist | $41.69 | $41.69 | $41.69 |
Lucent Health Setting Professional Modifier Global Typical Low $54.95 Median $120.23 Typical High $562.34 | Professional | Global | $54.95 | $120.23 | $562.34 |
Molina Setting Professional Modifier Global Typical Low $26.30 Median $44.67 Typical High $724.44 | Professional | Global | $26.30 | $44.67 | $724.44 |
Optum Setting Professional Modifier Global Typical Low $74.13 Median $91.20 Typical High $147.91 | Professional | Global | $74.13 | $91.20 | $147.91 |
Providence Setting Facility Modifier Global Typical Low $47.86 Median $81.28 Typical High $138.04 | Facility | Global | $47.86 | $81.28 | $138.04 |
Providence Setting Professional Modifier Global Typical Low $53.70 Median $87.10 Typical High $186.21 | Professional | Global | $53.70 | $87.10 | $186.21 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $36.31 Median $75.86 Typical High $194.98 | Professional | Global | $36.31 | $75.86 | $194.98 |
The Alliance Setting Professional Modifier Global Typical Low $23.99 Median $44.67 Typical High $107.15 | Professional | Global | $23.99 | $44.67 | $107.15 |
United Setting Facility Modifier Global Typical Low $41.69 Median $77.62 Typical High $138.04 | Facility | Global | $41.69 | $77.62 | $138.04 |
United Setting Professional Modifier Global Typical Low $44.67 Median $72.44 Typical High $144.54 | Professional | Global | $44.67 | $72.44 | $144.54 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $48.98 Median $85.11 Typical High $123.03 | Professional | 25 · Same-day visit | $48.98 | $85.11 | $123.03 |
Where California 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.
California· 3rd of 51
$93.33
MN $97.72DC $61.66
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.