How much rates vary
Facilitymedian $98 · 10th to 90th $56 to $468Professionalmedian $117 · 10th to 90th $43 to $288
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 $56.23 Median $97.72 Typical High $467.74 | Facility | Global | $56.23 | $97.72 | $467.74 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $54.95 Median $316.23 Typical High $812.83 | Facility | 25 · Same-day visit | $54.95 | $316.23 | $812.83 |
Aetna Setting Professional Modifier Global Typical Low $60.26 Median $120.23 Typical High $302.00 | Professional | Global | $60.26 | $120.23 | $302.00 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $56.23 Median $128.82 Typical High $323.59 | Professional | 25 · Same-day visit | $56.23 | $128.82 | $323.59 |
Ambetter Setting Professional Modifier Global Typical Low $74.13 Median $114.82 Typical High $154.88 | Professional | Global | $74.13 | $114.82 | $154.88 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $87.10 Median $125.89 Typical High $162.18 | Professional | 25 · Same-day visit | $87.10 | $125.89 | $162.18 |
Anthem BCBS Setting Facility Modifier Global Typical Low $812.83 Median $912.01 Typical High $977.24 | Facility | Global | $812.83 | $912.01 | $977.24 |
Anthem BCBS Setting Professional Modifier Global Typical Low $0.79 Median $74.13 Typical High $169.82 | Professional | Global | $0.79 | $74.13 | $169.82 |
CDPHP Setting Facility Modifier Global Typical Low $128.82 Median $141.25 Typical High $141.25 | Facility | Global | $128.82 | $141.25 | $141.25 |
CDPHP Setting Professional Modifier Global Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | Global | $141.25 | $141.25 | $181.97 |
Cigna Setting Facility Modifier Global Typical Low $97.72 Median $123.03 Typical High $245.47 | Facility | Global | $97.72 | $123.03 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $77.62 Median $134.90 Typical High $263.03 | Professional | Global | $77.62 | $134.90 | $263.03 |
Emblem Health Setting Facility Modifier Global Typical Low $0.10 Median $0.10 Typical High $107.15 | Facility | Global | $0.10 | $0.10 | $107.15 |
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 $45.71 Median $53.70 Typical High $218.78 | Professional | Global | $45.71 | $53.70 | $218.78 |
Emblem Health Setting Professional Modifier 25 · Same-day visit Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 25 · Same-day visit | $46.77 | $46.77 | $46.77 |
Excellus BCBS Setting Facility Modifier Global Typical Low $36.31 Median $38.02 Typical High $144.54 | Facility | Global | $36.31 | $38.02 | $144.54 |
Excellus BCBS Setting Professional Modifier Global Typical Low $91.20 Median $131.83 Typical High $257.04 | Professional | Global | $91.20 | $131.83 | $257.04 |
Fidelis Setting Professional Modifier Global Typical Low $70.79 Median $125.89 Typical High $181.97 | Professional | Global | $70.79 | $125.89 | $181.97 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $74.13 Median $114.82 Typical High $173.78 | Professional | 25 · Same-day visit | $74.13 | $114.82 | $173.78 |
Highmark BCBS Setting Facility Modifier Global Typical Low $12.59 Median $213.80 Typical High $467.74 | Facility | Global | $12.59 | $213.80 | $467.74 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $50.12 Median $213.80 Typical High $549.54 | Facility | 25 · Same-day visit | $50.12 | $213.80 | $549.54 |
Highmark BCBS Setting Professional Modifier Global Typical Low $120.23 Median $134.90 Typical High $223.87 | Professional | Global | $120.23 | $134.90 | $223.87 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $112.20 Median $125.89 Typical High $199.53 | Professional | 25 · Same-day visit | $112.20 | $125.89 | $199.53 |
MVP Health Care Setting Professional Modifier Global Typical Low $114.82 Median $151.36 Typical High $269.15 | Professional | Global | $114.82 | $151.36 | $269.15 |
Optum Setting Professional Modifier Global Typical Low $56.23 Median $125.89 Typical High $165.96 | Professional | Global | $56.23 | $125.89 | $165.96 |
United Setting Facility Modifier Global Typical Low $69.18 Median $114.82 Typical High $169.82 | Facility | Global | $69.18 | $114.82 | $169.82 |
United Setting Professional Modifier Global Typical Low $30.90 Median $74.13 Typical High $269.15 | Professional | Global | $30.90 | $74.13 | $269.15 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $131.83 Typical High $199.53 | Professional | 25 · Same-day visit | $70.79 | $131.83 | $199.53 |
Univera Setting Facility Modifier Global Typical Low $36.31 Median $66.07 Typical High $144.54 | Facility | Global | $36.31 | $66.07 | $144.54 |
Univera Setting Professional Modifier Global Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | Global | $95.50 | $138.04 | $245.47 |
Where New York 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.
New York· 27th of 51
$117
MN $148DC $89.13
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.