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 $85.11 Typical High $147.91 | Facility | Global | $77.62 | $85.11 | $147.91 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 25 · Same-day visit | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier Global Typical Low $77.62 Median $117.49 Typical High $257.04 | Professional | Global | $77.62 | $117.49 | $257.04 |
Ambetter Setting Professional Modifier Global Typical Low $93.33 Median $120.23 Typical High $181.97 | Professional | Global | $93.33 | $120.23 | $181.97 |
AmeriHealth Setting Professional Modifier Global Typical Low $89.13 Median $107.15 Typical High $117.49 | Professional | Global | $89.13 | $107.15 | $117.49 |
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 $117.49 Median $169.82 Typical High $204.17 | Professional | Global | $117.49 | $169.82 | $204.17 |
Cigna Setting Professional Modifier Global Typical Low $89.13 Median $125.89 Typical High $194.98 | Professional | Global | $89.13 | $125.89 | $194.98 |
Emblem Health Setting Professional Modifier Global Typical Low $51.29 Median $125.89 Typical High $208.93 | Professional | Global | $51.29 | $125.89 | $208.93 |
Geisinger Setting Facility Modifier Global Typical Low $89.13 Median $89.13 Typical High $107.15 | Facility | Global | $89.13 | $89.13 | $107.15 |
Geisinger Setting Professional Modifier Global Typical Low $85.11 Median $144.54 Typical High $204.17 | Professional | Global | $85.11 | $144.54 | $204.17 |
Highmark BCBS Setting Professional Modifier Global Typical Low $109.65 Median $123.03 Typical High $186.21 | Professional | Global | $109.65 | $123.03 | $186.21 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $89.13 Median $107.15 Typical High $120.23 | Professional | Global | $89.13 | $107.15 | $120.23 |
Martin's Point Setting Facility Modifier Global Typical Low $77.62 Median $85.11 Typical High $131.83 | Facility | Global | $77.62 | $85.11 | $131.83 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 25 · Same-day visit | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier Global Typical Low $79.43 Median $114.82 Typical High $245.47 | Professional | Global | $79.43 | $114.82 | $245.47 |
Optum Setting Professional Modifier Global Typical Low $70.79 Median $117.49 Typical High $128.82 | Professional | Global | $70.79 | $117.49 | $128.82 |
Oscar Health Setting Professional Modifier Global Typical Low $72.44 Median $117.49 Typical High $128.82 | Professional | Global | $72.44 | $117.49 | $128.82 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $91.20 Median $117.49 Typical High $169.82 | Facility | Global | $91.20 | $117.49 | $169.82 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $75.86 Median $117.49 Typical High $120.23 | Professional | Global | $75.86 | $117.49 | $120.23 |
United Setting Facility Modifier Global Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | Global | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier Global Typical Low $77.62 Median $117.49 Typical High $229.09 | Professional | Global | $77.62 | $117.49 | $229.09 |
Where Pennsylvania sits
The same service costs 1.7 times more in West Virginia 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· 21st of 51
$117
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.