How much rates vary
Facilitymedian $145 · 10th to 90th $98 to $363Professionalmedian $162 · 10th to 90th $98 to $347
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 $97.72 Median $141.25 Typical High $363.08 | Facility | Global | $97.72 | $141.25 | $363.08 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $95.50 Median $288.40 Typical High $933.25 | Facility | 25 · Same-day visit | $95.50 | $288.40 | $933.25 |
Aetna Setting Professional Modifier Global Typical Low $95.50 Median $165.96 Typical High $371.54 | Professional | Global | $95.50 | $165.96 | $371.54 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $83.18 Median $199.53 Typical High $416.87 | Professional | 25 · Same-day visit | $83.18 | $199.53 | $416.87 |
Ambetter Setting Professional Modifier Global Typical Low $123.03 Median $181.97 Typical High $281.84 | Professional | Global | $123.03 | $181.97 | $281.84 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $147.91 Median $186.21 Typical High $257.04 | Professional | 25 · Same-day visit | $147.91 | $186.21 | $257.04 |
AmeriHealth Setting Facility Modifier Global Typical Low $147.91 Median $147.91 Typical High $724.44 | Facility | Global | $147.91 | $147.91 | $724.44 |
AmeriHealth Setting Professional Modifier Global Typical Low $138.04 Median $147.91 Typical High $186.21 | Professional | Global | $138.04 | $147.91 | $186.21 |
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 $177.83 Median $223.87 Typical High $275.42 | Professional | Global | $177.83 | $223.87 | $275.42 |
Cigna Setting Facility Modifier Global Typical Low $120.23 Median $158.49 Typical High $257.04 | Facility | Global | $120.23 | $158.49 | $257.04 |
Cigna Setting Professional Modifier Global Typical Low $112.20 Median $158.49 Typical High $263.03 | Professional | Global | $112.20 | $158.49 | $263.03 |
Emblem Health Setting Facility Modifier Global Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | Global | $281.84 | $281.84 | $281.84 |
Emblem Health Setting Professional Modifier Global Typical Low $60.26 Median $67.61 Typical High $380.19 | Professional | Global | $60.26 | $67.61 | $380.19 |
Geisinger Setting Facility Modifier Global Typical Low $117.49 Median $117.49 Typical High $141.25 | Facility | Global | $117.49 | $117.49 | $141.25 |
Geisinger Setting Professional Modifier Global Typical Low $117.49 Median $204.17 Typical High $323.59 | Professional | Global | $117.49 | $204.17 | $323.59 |
Highmark BCBS Setting Facility Modifier Global Typical Low $75.86 Median $199.53 Typical High $331.13 | Facility | Global | $75.86 | $199.53 | $331.13 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $213.80 Median $245.47 Typical High $331.13 | Facility | 25 · Same-day visit | $213.80 | $245.47 | $331.13 |
Highmark BCBS Setting Professional Modifier Global Typical Low $141.25 Median $190.55 Typical High $281.84 | Professional | Global | $141.25 | $190.55 | $281.84 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $144.54 Median $177.83 Typical High $263.03 | Professional | 25 · Same-day visit | $144.54 | $177.83 | $263.03 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $147.91 Median $147.91 Typical High $724.44 | Facility | Global | $147.91 | $147.91 | $724.44 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $138.04 Median $151.36 Typical High $186.21 | Professional | Global | $138.04 | $151.36 | $186.21 |
Johns Hopkins Employer Health Plan Setting Facility Modifier Global Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | Global | $162.18 | $162.18 | $162.18 |
Johns Hopkins Employer Health Plan Setting Professional Modifier Global Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | Global | $162.18 | $162.18 | $213.80 |
Martin's Point Setting Facility Modifier Global Typical Low $107.15 Median $147.91 Typical High $354.81 | Facility | Global | $107.15 | $147.91 | $354.81 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $95.50 Median $288.40 Typical High $741.31 | Facility | 25 · Same-day visit | $95.50 | $288.40 | $741.31 |
Martin's Point Setting Professional Modifier Global Typical Low $109.65 Median $151.36 Typical High $309.03 | Professional | Global | $109.65 | $151.36 | $309.03 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $85.11 Median $208.93 Typical High $478.63 | Professional | 25 · Same-day visit | $85.11 | $208.93 | $478.63 |
Optum Setting Professional Modifier Global Typical Low $87.10 Median $165.96 Typical High $218.78 | Professional | Global | $87.10 | $165.96 | $218.78 |
Oscar Health Setting Professional Modifier Global Typical Low $109.65 Median $186.21 Typical High $354.81 | Professional | Global | $109.65 | $186.21 | $354.81 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $120.23 Median $173.78 Typical High $288.40 | Facility | Global | $120.23 | $173.78 | $288.40 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $134.90 Median $169.82 Typical High $181.97 | Professional | Global | $134.90 | $169.82 | $181.97 |
United Setting Facility Modifier Global Typical Low $83.18 Median $104.71 Typical High $223.87 | Facility | Global | $83.18 | $104.71 | $223.87 |
United Setting Professional Modifier Global Typical Low $87.10 Median $144.54 Typical High $281.84 | Professional | Global | $87.10 | $144.54 | $281.84 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $95.50 Typical High $346.74 | Professional | 25 · Same-day visit | $75.86 | $95.50 | $346.74 |
Where Pennsylvania 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.
Pennsylvania· 26th of 51
$162
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.