How much rates vary
Facilitymedian $51 · 10th to 90th $36 to $120Professionalmedian $42 · 10th to 90th $30 to $68
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 Professional Modifier Global Typical Low $28.18 Median $38.90 Typical High $66.07 | Professional | Global | $28.18 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $39.81 Median $128.82 Typical High $173.78 | Professional | 25 · Same-day visit | $39.81 | $128.82 | $173.78 |
Ambetter Setting Professional Modifier Global Typical Low $32.36 Median $39.81 Typical High $53.70 | Professional | Global | $32.36 | $39.81 | $53.70 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $32.36 Median $38.90 Typical High $50.12 | Professional | 25 · Same-day visit | $32.36 | $38.90 | $50.12 |
BCBS Setting Facility Modifier Global Typical Low $251.19 Median $263.03 Typical High $263.03 | Facility | Global | $251.19 | $263.03 | $263.03 |
BCBS Setting Professional Modifier Global Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | Global | $47.86 | $56.23 | $56.23 |
Cigna Setting Professional Modifier Global Typical Low $38.02 Median $54.95 Typical High $85.11 | Professional | Global | $38.02 | $54.95 | $85.11 |
Medica Setting Facility Modifier Global Typical Low $36.31 Median $51.29 Typical High $112.20 | Facility | Global | $36.31 | $51.29 | $112.20 |
Medica Setting Professional Modifier Global Typical Low $38.02 Median $53.70 Typical High $501.19 | Professional | Global | $38.02 | $53.70 | $501.19 |
United Setting Facility Modifier Global Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | Global | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier Global Typical Low $35.48 Median $46.77 Typical High $104.71 | Professional | Global | $35.48 | $46.77 | $104.71 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 25 · Same-day visit | $67.61 | $67.61 | $85.11 |
Where Kansas sits
The same service costs 27.8 times more in Vermont than in Nevada. 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.
Physician feeFacility fee
VT $2,243NV $80.55
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.