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 $77.62 Median $95.50 Typical High $489.78 | Facility | Global | $77.62 | $95.50 | $489.78 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $41.69 Median $75.86 Typical High $213.80 | Facility | 25 · Same-day visit | $41.69 | $75.86 | $213.80 |
Aetna Setting Professional Modifier Global Typical Low $67.61 Median $104.71 Typical High $218.78 | Professional | Global | $67.61 | $104.71 | $218.78 |
Ambetter Setting Professional Modifier Global Typical Low $72.44 Median $100.00 Typical High $141.25 | Professional | Global | $72.44 | $100.00 | $141.25 |
AmeriHealth Setting Facility Modifier Global Typical Low $218.78 Median $323.59 Typical High $4,677.35 | Facility | Global | $218.78 | $323.59 | $4,677.35 |
AmeriHealth Setting Professional Modifier Global Typical Low $89.13 Median $104.71 Typical High $120.23 | Professional | Global | $89.13 | $104.71 | $120.23 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $87.10 Median $128.82 Typical High $181.97 | Professional | Global | $87.10 | $128.82 | $181.97 |
Cigna Setting Professional Modifier Global Typical Low $75.86 Median $107.15 Typical High $169.82 | Professional | Global | $75.86 | $107.15 | $169.82 |
Emblem Health Setting Professional Modifier Global Typical Low $66.07 Median $109.65 Typical High $158.49 | Professional | Global | $66.07 | $109.65 | $158.49 |
Geisinger Setting Facility Modifier Global Typical Low $83.18 Median $83.18 Typical High $100.00 | Facility | Global | $83.18 | $83.18 | $100.00 |
Geisinger Setting Professional Modifier Global Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | Global | $74.13 | $104.71 | $177.83 |
Highmark BCBS Setting Facility Modifier Global Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | Global | $95.50 | $95.50 | $95.50 |
Highmark BCBS Setting Professional Modifier Global Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | Global | $77.62 | $91.20 | $134.90 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $173.78 Median $323.59 Typical High $4,677.35 | Facility | Global | $173.78 | $323.59 | $4,677.35 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $89.13 Median $104.71 Typical High $114.82 | Professional | Global | $89.13 | $104.71 | $114.82 |
Martin's Point Setting Facility Modifier Global Typical Low $77.62 Median $83.18 Typical High $389.05 | Facility | Global | $77.62 | $83.18 | $389.05 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $41.69 Median $75.86 Typical High $213.80 | Facility | 25 · Same-day visit | $41.69 | $75.86 | $213.80 |
Martin's Point Setting Professional Modifier Global Typical Low $75.86 Median $112.20 Typical High $218.78 | Professional | Global | $75.86 | $112.20 | $218.78 |
Optum Setting Professional Modifier Global Typical Low $50.12 Median $87.10 Typical High $125.89 | Professional | Global | $50.12 | $87.10 | $125.89 |
Oscar Health Setting Facility Modifier Global Typical Low $1,621.81 Median $5,623.41 Typical High $7,079.46 | Facility | Global | $1,621.81 | $5,623.41 | $7,079.46 |
Oscar Health Setting Professional Modifier Global Typical Low $50.12 Median $83.18 Typical High $125.89 | Professional | Global | $50.12 | $83.18 | $125.89 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $102.33 Median $144.54 Typical High $204.17 | Facility | Global | $102.33 | $144.54 | $204.17 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $70.79 Median $81.28 Typical High $102.33 | Professional | Global | $70.79 | $81.28 | $102.33 |
United Setting Facility Modifier Global Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | Global | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier Global Typical Low $72.44 Median $107.15 Typical High $204.17 | Professional | Global | $72.44 | $107.15 | $204.17 |
Where Pennsylvania sits
The same service costs 2.1 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
$107
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.