How much rates vary
Facilitymedian $66 · 10th to 90th $30 to $123Professionalmedian $58 · 10th to 90th $29 to $112
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 $29.51 Median $66.07 Typical High $114.82 | Facility | Global | $29.51 | $66.07 | $114.82 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 25 · Same-day visit | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier Global Typical Low $29.51 Median $58.88 Typical High $112.20 | Professional | Global | $29.51 | $58.88 | $112.20 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $28.18 Median $75.86 Typical High $154.88 | Professional | 25 · Same-day visit | $28.18 | $75.86 | $154.88 |
Ambetter Setting Professional Modifier Global Typical Low $37.15 Median $43.65 Typical High $66.07 | Professional | Global | $37.15 | $43.65 | $66.07 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 25 · Same-day visit | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier Global Typical Low $0.79 Median $30.90 Typical High $93.33 | Professional | Global | $0.79 | $30.90 | $93.33 |
CDPHP Setting Facility Modifier Global Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | Global | $53.70 | $53.70 | $53.70 |
CDPHP Setting Professional Modifier Global Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | Global | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier Global Typical Low $61.66 Median $61.66 Typical High $141.25 | Facility | Global | $61.66 | $61.66 | $141.25 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 22 · Increased work | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | AS · PA/NP assist | $6.17 | $6.17 | $6.17 |
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $58.88 Typical High $128.82 | Professional | Global | $37.15 | $58.88 | $128.82 |
Emblem Health Setting Facility Modifier Global Typical Low $30.20 Median $52.48 Typical High $123.03 | Facility | Global | $30.20 | $52.48 | $123.03 |
Emblem Health Setting Professional Modifier Global Typical Low $29.51 Median $46.77 Typical High $87.10 | Professional | Global | $29.51 | $46.77 | $87.10 |
Excellus BCBS Setting Professional Modifier Global Typical Low $14.79 Median $53.70 Typical High $97.72 | Professional | Global | $14.79 | $53.70 | $97.72 |
Highmark BCBS Setting Professional Modifier Global Typical Low $39.81 Median $48.98 Typical High $104.71 | Professional | Global | $39.81 | $48.98 | $104.71 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $45.71 Median $102.33 Typical High $123.03 | Professional | 25 · Same-day visit | $45.71 | $102.33 | $123.03 |
MVP Health Care Setting Facility Modifier Global Typical Low $31.62 Median $50,118.72 Typical High $75,857.76 | Facility | Global | $31.62 | $50,118.72 | $75,857.76 |
MVP Health Care Setting Professional Modifier Global Typical Low $42.66 Median $57.54 Typical High $128.82 | Professional | Global | $42.66 | $57.54 | $128.82 |
Optum Setting Professional Modifier Global Typical Low $36.31 Median $44.67 Typical High $79.43 | Professional | Global | $36.31 | $44.67 | $79.43 |
United Setting Facility Modifier Global Typical Low $36.31 Median $66.07 Typical High $512.86 | Facility | Global | $36.31 | $66.07 | $512.86 |
United Setting Professional Modifier Global Typical Low $30.20 Median $61.66 Typical High $97.72 | Professional | Global | $30.20 | $61.66 | $97.72 |
Univera Setting Facility Modifier Global Typical Low $19.50 Median $40.74 Typical High $117.49 | Facility | Global | $19.50 | $40.74 | $117.49 |
Univera Setting Professional Modifier Global Typical Low $14.79 Median $52.48 Typical High $125.89 | Professional | Global | $14.79 | $52.48 | $125.89 |
Where New York sits
The same service costs 2.1 times more in Alaska than in Alabama. 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· 15th of 51
$57.54
AK $83.18AL $39.81
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.