How much rates vary
Facilitymedian $123 · 10th to 90th $78 to $447Professionalmedian $120 · 10th to 90th $68 to $251
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 $128.82 Typical High $446.68 | Facility | Global | $75.86 | $128.82 | $446.68 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $95.50 Median $194.98 Typical High $446.68 | Facility | 25 · Same-day visit | $95.50 | $194.98 | $446.68 |
Aetna Setting Professional Modifier Global Typical Low $63.10 Median $120.23 Typical High $263.03 | Professional | Global | $63.10 | $120.23 | $263.03 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $60.26 Median $123.03 Typical High $269.15 | Professional | 25 · Same-day visit | $60.26 | $123.03 | $269.15 |
Ambetter Setting Professional Modifier Global Typical Low $81.28 Median $123.03 Typical High $194.98 | Professional | Global | $81.28 | $123.03 | $194.98 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $89.13 Median $128.82 Typical High $190.55 | Professional | 25 · Same-day visit | $89.13 | $128.82 | $190.55 |
AmeriHealth Setting Facility Modifier Global Typical Low $100.00 Median $100.00 Typical High $5,011.87 | Facility | Global | $100.00 | $100.00 | $5,011.87 |
AmeriHealth Setting Professional Modifier Global Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | Global | $89.13 | $107.15 | $134.90 |
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 $48.98 Median $165.96 Typical High $218.78 | Professional | Global | $48.98 | $165.96 | $218.78 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $141.25 Typical High $190.55 | Professional | 50 · Both sides | $120.23 | $141.25 | $190.55 |
Cigna Setting Facility Modifier Global Typical Low $120.23 Median $147.91 Typical High $257.04 | Facility | Global | $120.23 | $147.91 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $72.44 Median $112.20 Typical High $190.55 | Professional | Global | $72.44 | $112.20 | $190.55 |
Emblem Health Setting Facility Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | Global | $190.55 | $190.55 | $190.55 |
Emblem Health Setting Professional Modifier Global Typical Low $40.74 Median $46.77 Typical High $229.09 | Professional | Global | $40.74 | $46.77 | $229.09 |
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 |
Geisinger Setting Facility Modifier Global Typical Low $85.11 Median $85.11 Typical High $102.33 | Facility | Global | $85.11 | $85.11 | $102.33 |
Geisinger Setting Professional Modifier Global Typical Low $83.18 Median $141.25 Typical High $223.87 | Professional | Global | $83.18 | $141.25 | $223.87 |
Highmark BCBS Setting Facility Modifier Global Typical Low $117.49 Median $213.80 Typical High $489.78 | Facility | Global | $117.49 | $213.80 | $489.78 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $66.07 Median $181.97 Typical High $213.80 | Facility | 25 · Same-day visit | $66.07 | $181.97 | $213.80 |
Highmark BCBS Setting Professional Modifier Global Typical Low $100.00 Median $138.04 Typical High $208.93 | Professional | Global | $100.00 | $138.04 | $208.93 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $102.33 Median $131.83 Typical High $199.53 | Professional | 25 · Same-day visit | $102.33 | $131.83 | $199.53 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $100.00 Median $100.00 Typical High $3,090.30 | Facility | Global | $100.00 | $100.00 | $3,090.30 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | Global | $89.13 | $107.15 | $134.90 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | Global | $114.82 | $114.82 | $114.82 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | Global | $114.82 | $114.82 | $158.49 |
Martin's Point Setting Facility Modifier Global Typical Low $75.86 Median $120.23 Typical High $398.11 | Facility | Global | $75.86 | $120.23 | $398.11 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $95.50 Median $194.98 Typical High $501.19 | Facility | 25 · Same-day visit | $95.50 | $194.98 | $501.19 |
Martin's Point Setting Professional Modifier Global Typical Low $74.13 Median $109.65 Typical High $218.78 | Professional | Global | $74.13 | $109.65 | $218.78 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $60.26 Median $125.89 Typical High $281.84 | Professional | 25 · Same-day visit | $60.26 | $125.89 | $281.84 |
Optum Setting Professional Modifier Global Typical Low $52.48 Median $123.03 Typical High $162.18 | Professional | Global | $52.48 | $123.03 | $162.18 |
Oscar Health Setting Facility Modifier Global Typical Low $169.82 Median $169.82 Typical High $446.68 | Facility | Global | $169.82 | $169.82 | $446.68 |
Oscar Health Setting Professional Modifier Global Typical Low $67.61 Median $131.83 Typical High $245.47 | Professional | Global | $67.61 | $131.83 | $245.47 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $102.33 Median $147.91 Typical High $204.17 | Facility | Global | $102.33 | $147.91 | $204.17 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $93.33 Median $104.71 Typical High $138.04 | Professional | Global | $93.33 | $104.71 | $138.04 |
United Setting Facility Modifier Global Typical Low $104.71 Median $104.71 Typical High $158.49 | Facility | Global | $104.71 | $104.71 | $158.49 |
United Setting Professional Modifier Global Typical Low $64.57 Median $102.33 Typical High $199.53 | Professional | Global | $64.57 | $102.33 | $199.53 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $89.13 Typical High $181.97 | Professional | 25 · Same-day visit | $70.79 | $89.13 | $181.97 |
Where Pennsylvania 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.
Pennsylvania· 22nd of 51
$120
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.