How much rates vary
Facilitymedian $98 · 10th to 90th $54 to $389Professionalmedian $85 · 10th to 90th $50 to $166
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 $53.70 Median $97.72 Typical High $407.38 | Facility | Global | $53.70 | $97.72 | $407.38 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $100.00 Median $288.40 Typical High $741.31 | Facility | 25 · Same-day visit | $100.00 | $288.40 | $741.31 |
Aetna Setting Professional Modifier Global Typical Low $50.12 Median $85.11 Typical High $173.78 | Professional | Global | $50.12 | $85.11 | $173.78 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $53.70 Median $87.10 Typical High $186.21 | Professional | 25 · Same-day visit | $53.70 | $87.10 | $186.21 |
Ambetter Setting Professional Modifier Global Typical Low $56.23 Median $87.10 Typical High $134.90 | Professional | Global | $56.23 | $87.10 | $134.90 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $64.57 Median $91.20 Typical High $138.04 | Professional | 25 · Same-day visit | $64.57 | $91.20 | $138.04 |
AmeriHealth Setting Facility Modifier Global Typical Low $67.61 Median $67.61 Typical High $457.09 | Facility | Global | $67.61 | $67.61 | $457.09 |
AmeriHealth Setting Professional Modifier Global Typical Low $63.10 Median $74.13 Typical High $95.50 | Professional | Global | $63.10 | $74.13 | $95.50 |
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 $72.44 Median $114.82 Typical High $134.90 | Professional | Global | $72.44 | $114.82 | $134.90 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $81.28 Median $100.00 Typical High $134.90 | Professional | 50 · Both sides | $81.28 | $100.00 | $134.90 |
Cigna Setting Facility Modifier Global Typical Low $81.28 Median $147.91 Typical High $257.04 | Facility | Global | $81.28 | $147.91 | $257.04 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 22 · Increased work | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 62 · Two surgeons | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | AS · PA/NP assist | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier Global Typical Low $48.98 Median $75.86 Typical High $131.83 | Professional | Global | $48.98 | $75.86 | $131.83 |
Emblem Health Setting Facility Modifier Global Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | Global | $128.82 | $128.82 | $128.82 |
Emblem Health Setting Professional Modifier Global Typical Low $38.02 Median $45.71 Typical High $165.96 | Professional | Global | $38.02 | $45.71 | $165.96 |
Emblem Health Setting Professional Modifier 25 · Same-day visit Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 25 · Same-day visit | $40.74 | $40.74 | $40.74 |
Geisinger Setting Facility Modifier Global Typical Low $56.23 Median $56.23 Typical High $67.61 | Facility | Global | $56.23 | $56.23 | $67.61 |
Geisinger Setting Professional Modifier Global Typical Low $53.70 Median $100.00 Typical High $158.49 | Professional | Global | $53.70 | $100.00 | $158.49 |
Highmark BCBS Setting Facility Modifier Global Typical Low $85.11 Median $138.04 Typical High $323.59 | Facility | Global | $85.11 | $138.04 | $323.59 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $93.33 Median $151.36 Typical High $181.97 | Facility | 25 · Same-day visit | $93.33 | $151.36 | $181.97 |
Highmark BCBS Setting Professional Modifier Global Typical Low $66.07 Median $95.50 Typical High $144.54 | Professional | Global | $66.07 | $95.50 | $144.54 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $64.57 Median $93.33 Typical High $134.90 | Professional | 25 · Same-day visit | $64.57 | $93.33 | $134.90 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $67.61 Median $67.61 Typical High $416.87 | Facility | Global | $67.61 | $67.61 | $416.87 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $63.10 Median $74.13 Typical High $95.50 | Professional | Global | $63.10 | $74.13 | $95.50 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | Global | $74.13 | $74.13 | $74.13 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | Global | $74.13 | $74.13 | $107.15 |
Martin's Point Setting Facility Modifier Global Typical Low $53.70 Median $97.72 Typical High $380.19 | Facility | Global | $53.70 | $97.72 | $380.19 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $100.00 Median $288.40 Typical High $758.58 | Facility | 25 · Same-day visit | $100.00 | $288.40 | $758.58 |
Martin's Point Setting Professional Modifier Global Typical Low $52.48 Median $75.86 Typical High $147.91 | Professional | Global | $52.48 | $75.86 | $147.91 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $54.95 Median $91.20 Typical High $190.55 | Professional | 25 · Same-day visit | $54.95 | $91.20 | $190.55 |
Optum Setting Professional Modifier Global Typical Low $39.81 Median $85.11 Typical High $112.20 | Professional | Global | $39.81 | $85.11 | $112.20 |
Oscar Health Setting Facility Modifier Global Typical Low $141.25 Median $141.25 Typical High $446.68 | Facility | Global | $141.25 | $141.25 | $446.68 |
Oscar Health Setting Professional Modifier Global Typical Low $53.70 Median $93.33 Typical High $177.83 | Professional | Global | $53.70 | $93.33 | $177.83 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $74.13 Median $120.23 Typical High $169.82 | Facility | Global | $74.13 | $120.23 | $169.82 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $64.57 Median $85.11 Typical High $93.33 | Professional | Global | $64.57 | $85.11 | $93.33 |
United Setting Facility Modifier Global Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | Global | $104.71 | $104.71 | $112.20 |
United Setting Professional Modifier Global Typical Low $45.71 Median $74.13 Typical High $138.04 | Professional | Global | $45.71 | $74.13 | $138.04 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $89.13 Typical High $138.04 | Professional | 25 · Same-day visit | $70.79 | $89.13 | $138.04 |
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· 23rd of 51
$85.11
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.