How much rates vary
Facilitymedian $132 · 10th to 90th $81 to $513Professionalmedian $162 · 10th to 90th $49 to $398
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 $81.28 Median $131.83 Typical High $489.78 | Facility | Global | $81.28 | $131.83 | $489.78 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $181.97 Median $457.09 Typical High $1,000.00 | Facility | 25 · Same-day visit | $181.97 | $457.09 | $1,000.00 |
Aetna Setting Professional Modifier Global Typical Low $93.33 Median $169.82 Typical High $407.38 | Professional | Global | $93.33 | $169.82 | $407.38 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $81.28 Median $204.17 Typical High $489.78 | Professional | 25 · Same-day visit | $81.28 | $204.17 | $489.78 |
Ambetter Setting Professional Modifier Global Typical Low $120.23 Median $169.82 Typical High $218.78 | Professional | Global | $120.23 | $169.82 | $218.78 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | 25 · Same-day visit | $144.54 | $186.21 | $218.78 |
Anthem BCBS Setting Facility Modifier Global Typical Low $812.83 Median $912.01 Typical High $1,148.15 | Facility | Global | $812.83 | $912.01 | $1,148.15 |
Anthem BCBS Setting Professional Modifier Global Typical Low $0.79 Median $100.00 Typical High $223.87 | Professional | Global | $0.79 | $100.00 | $223.87 |
CDPHP Setting Facility Modifier Global Typical Low $128.82 Median $208.93 Typical High $208.93 | Facility | Global | $128.82 | $208.93 | $208.93 |
CDPHP Setting Professional Modifier Global Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | Global | $208.93 | $208.93 | $257.04 |
Cigna Setting Facility Modifier Global Typical Low $134.90 Median $177.83 Typical High $251.19 | Facility | Global | $134.90 | $177.83 | $251.19 |
Cigna Setting Professional Modifier Global Typical Low $114.82 Median $186.21 Typical High $371.54 | Professional | Global | $114.82 | $186.21 | $371.54 |
Emblem Health Setting Facility Modifier Global Typical Low $0.10 Median $0.10 Typical High $158.49 | Facility | Global | $0.10 | $0.10 | $158.49 |
Emblem Health Setting Professional Modifier Global Typical Low $64.57 Median $75.86 Typical High $309.03 | Professional | Global | $64.57 | $75.86 | $309.03 |
Excellus BCBS Setting Facility Modifier Global Typical Low $36.31 Median $47.86 Typical High $309.03 | Facility | Global | $36.31 | $47.86 | $309.03 |
Excellus BCBS Setting Professional Modifier Global Typical Low $123.03 Median $190.55 Typical High $363.08 | Professional | Global | $123.03 | $190.55 | $363.08 |
Fidelis Setting Professional Modifier Global Typical Low $91.20 Median $173.78 Typical High $239.88 | Professional | Global | $91.20 | $173.78 | $239.88 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $100.00 Median $154.88 Typical High $245.47 | Professional | 25 · Same-day visit | $100.00 | $154.88 | $245.47 |
Highmark BCBS Setting Facility Modifier Global Typical Low $125.89 Median $275.42 Typical High $851.14 | Facility | Global | $125.89 | $275.42 | $851.14 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $50.12 Median $54.95 Typical High $776.25 | Facility | 25 · Same-day visit | $50.12 | $54.95 | $776.25 |
Highmark BCBS Setting Professional Modifier Global Typical Low $158.49 Median $181.97 Typical High $263.03 | Professional | Global | $158.49 | $181.97 | $263.03 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $154.88 Median $177.83 Typical High $257.04 | Professional | 25 · Same-day visit | $154.88 | $177.83 | $257.04 |
MVP Health Care Setting Professional Modifier Global Typical Low $151.36 Median $199.53 Typical High $371.54 | Professional | Global | $151.36 | $199.53 | $371.54 |
Optum Setting Professional Modifier Global Typical Low $81.28 Median $169.82 Typical High $229.09 | Professional | Global | $81.28 | $169.82 | $229.09 |
United Setting Facility Modifier Global Typical Low $83.18 Median $125.89 Typical High $190.55 | Facility | Global | $83.18 | $125.89 | $190.55 |
United Setting Professional Modifier Global Typical Low $30.90 Median $112.20 Typical High $389.05 | Professional | Global | $30.90 | $112.20 | $389.05 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $89.13 Typical High $346.74 | Professional | 25 · Same-day visit | $70.79 | $89.13 | $346.74 |
Univera Setting Facility Modifier Global Typical Low $36.31 Median $93.33 Typical High $234.42 | Facility | Global | $36.31 | $93.33 | $234.42 |
Univera Setting Professional Modifier Global Typical Low $125.89 Median $194.98 Typical High $354.81 | Professional | Global | $125.89 | $194.98 | $354.81 |
Where New York sits
The same service costs 1.8 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· 28th of 51
$158
MN $219DC $123
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.