How much rates vary
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 $75.86 Median $120.23 Typical High $416.87 | Facility | Global | $75.86 | $120.23 | $416.87 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $77.62 Median $239.88 Typical High $575.44 | Facility | 25 · Same-day visit | $77.62 | $239.88 | $575.44 |
Aetna Setting Professional Modifier Global Typical Low $70.79 Median $134.90 Typical High $354.81 | Professional | Global | $70.79 | $134.90 | $354.81 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $63.10 Median $134.90 Typical High $363.08 | Professional | 25 · Same-day visit | $63.10 | $134.90 | $363.08 |
Ambetter Setting Professional Modifier Global Typical Low $77.62 Median $125.89 Typical High $190.55 | Professional | Global | $77.62 | $125.89 | $190.55 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $87.10 Median $131.83 Typical High $194.98 | Professional | 25 · Same-day visit | $87.10 | $131.83 | $194.98 |
Anthem BCBS Setting Facility Modifier Global Typical Low $72.44 Median $89.13 Typical High $100.00 | Facility | Global | $72.44 | $89.13 | $100.00 |
Anthem BCBS Setting Professional Modifier Global Typical Low $72.44 Median $107.15 Typical High $190.55 | Professional | Global | $72.44 | $107.15 | $190.55 |
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 $97.72 Median $100.00 Typical High $213.80 | Professional | Global | $97.72 | $100.00 | $213.80 |
Cigna Setting Facility Modifier Global Typical Low $120.23 Median $151.36 Typical High $223.87 | Facility | Global | $120.23 | $151.36 | $223.87 |
Cigna Setting Professional Modifier Global Typical Low $81.28 Median $123.03 Typical High $234.42 | Professional | Global | $81.28 | $123.03 | $234.42 |
Contra Costa Health Setting Professional Modifier Global Typical Low $37.15 Median $93.33 Typical High $190.55 | Professional | Global | $37.15 | $93.33 | $190.55 |
HealthNet Setting Professional Modifier Global Typical Low $114.82 Median $218.78 Typical High $467.74 | Professional | Global | $114.82 | $218.78 | $467.74 |
HealthNet Setting Professional Modifier 25 · Same-day visit Typical Low $85.11 Median $169.82 Typical High $234.42 | Professional | 25 · Same-day visit | $85.11 | $169.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $83.18 Median $138.04 Typical High $234.42 | Professional | Global | $83.18 | $138.04 | $234.42 |
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 Professional Modifier Global Typical Low $85.11 Median $169.82 Typical High $794.33 | Professional | Global | $85.11 | $169.82 | $794.33 |
Molina Setting Professional Modifier Global Typical Low $41.69 Median $109.65 Typical High $724.44 | Professional | Global | $41.69 | $109.65 | $724.44 |
Optum Setting Professional Modifier Global Typical Low $100.00 Median $128.82 Typical High $208.93 | Professional | Global | $100.00 | $128.82 | $208.93 |
Providence Setting Facility Modifier Global Typical Low $74.13 Median $120.23 Typical High $199.53 | Facility | Global | $74.13 | $120.23 | $199.53 |
Providence Setting Professional Modifier Global Typical Low $81.28 Median $128.82 Typical High $269.15 | Professional | Global | $81.28 | $128.82 | $269.15 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $47.86 Median $75.86 Typical High $288.40 | Professional | Global | $47.86 | $75.86 | $288.40 |
The Alliance Setting Professional Modifier Global Typical Low $37.15 Median $69.18 Typical High $151.36 | Professional | Global | $37.15 | $69.18 | $151.36 |
United Setting Facility Modifier Global Typical Low $41.69 Median $107.15 Typical High $158.49 | Facility | Global | $41.69 | $107.15 | $158.49 |
United Setting Professional Modifier Global Typical Low $67.61 Median $102.33 Typical High $208.93 | Professional | Global | $67.61 | $102.33 | $208.93 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $77.62 Median $89.13 Typical High $186.21 | Professional | 25 · Same-day visit | $77.62 | $89.13 | $186.21 |
Where California sits
The same service costs 1.7 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· 4th of 51
$135
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.