How much rates vary
Facilitymedian $66 · 10th to 90th $36 to $724Professionalmedian $66 · 10th to 90th $31 to $95
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 $27.54 Median $58.88 Typical High $95.50 | Professional | Global | $27.54 | $58.88 | $95.50 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $61.66 Median $95.50 Typical High $144.54 | Professional | 25 · Same-day visit | $61.66 | $95.50 | $144.54 |
Ambetter Setting Professional Modifier Global Typical Low $38.02 Median $58.88 Typical High $79.43 | Professional | Global | $38.02 | $58.88 | $79.43 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | 25 · Same-day visit | $38.02 | $54.95 | $79.43 |
BCBS Setting Facility Modifier Global Typical Low $158.49 Median $158.49 Typical High $186.21 | Facility | Global | $158.49 | $158.49 | $186.21 |
BCBS Setting Professional Modifier Global Typical Low $37.15 Median $63.10 Typical High $85.11 | Professional | Global | $37.15 | $63.10 | $85.11 |
Cigna Setting Professional Modifier Global Typical Low $39.81 Median $79.43 Typical High $104.71 | Professional | Global | $39.81 | $79.43 | $104.71 |
Medica Setting Facility Modifier Global Typical Low $36.31 Median $60.26 Typical High $89.13 | Facility | Global | $36.31 | $60.26 | $89.13 |
Medica Setting Facility Modifier 25 · Same-day visit Typical Low $239.88 Median $416.87 Typical High $549.54 | Facility | 25 · Same-day visit | $239.88 | $416.87 | $549.54 |
Medica Setting Professional Modifier Global Typical Low $50.12 Median $72.44 Typical High $501.19 | Professional | Global | $50.12 | $72.44 | $501.19 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $38.02 Median $69.18 Typical High $95.50 | Professional | 25 · Same-day visit | $38.02 | $69.18 | $95.50 |
Midlands Setting Professional Modifier Global Typical Low $60.26 Median $79.43 Typical High $104.71 | Professional | Global | $60.26 | $79.43 | $104.71 |
Midlands Setting Professional Modifier Global Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | Global | $79.43 | $91.20 | $100.00 |
Oscar Health Setting Facility Modifier Global Typical Low $724.44 Median $724.44 Typical High $851.14 | Facility | Global | $724.44 | $724.44 | $851.14 |
Oscar Health Setting Professional Modifier Global Typical Low $38.90 Median $77.62 Typical High $102.33 | Professional | Global | $38.90 | $77.62 | $102.33 |
United Setting Professional Modifier Global Typical Low $50.12 Median $79.43 Typical High $112.20 | Professional | Global | $50.12 | $79.43 | $112.20 |
Where Nebraska 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.