How much rates vary
Facilitymedian $87 · 10th to 90th $66 to $151Professionalmedian $76 · 10th to 90th $52 to $229
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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier Global Typical Low $52.48 Median $74.13 Typical High $229.09 | Professional | Global | $52.48 | $74.13 | $229.09 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $58.88 Median $147.91 Typical High $295.12 | Professional | 25 · Same-day visit | $58.88 | $147.91 | $295.12 |
Ambetter Setting Professional Modifier Global Typical Low $58.88 Median $81.28 Typical High $204.17 | Professional | Global | $58.88 | $81.28 | $204.17 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $64.57 Median $74.13 Typical High $269.15 | Professional | 25 · Same-day visit | $64.57 | $74.13 | $269.15 |
Anthem BCBS Setting Professional Modifier Global Typical Low $69.18 Median $95.50 Typical High $169.82 | Professional | Global | $69.18 | $95.50 | $169.82 |
Blue Shield Setting Facility Modifier Global Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | Global | $331.13 | $331.13 | $331.13 |
Blue Shield Setting Professional Modifier Global Typical Low $69.18 Median $100.00 Typical High $177.83 | Professional | Global | $69.18 | $100.00 | $177.83 |
Cigna Setting Professional Modifier Global Typical Low $60.26 Median $81.28 Typical High $190.55 | Professional | Global | $60.26 | $81.28 | $190.55 |
Contra Costa Health Setting Professional Modifier Global Typical Low $44.67 Median $60.26 Typical High $100.00 | Professional | Global | $44.67 | $60.26 | $100.00 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $63.10 Median $87.10 Typical High $269.15 | Professional | Global | $63.10 | $87.10 | $269.15 |
Lucent Health Setting Facility Modifier Global Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | Global | $446.68 | $446.68 | $446.68 |
Lucent Health Setting Professional Modifier Global Typical Low $112.20 Median $501.19 Typical High $501.19 | Professional | Global | $112.20 | $501.19 | $501.19 |
Molina Setting Professional Modifier Global Typical Low $104.71 Median $104.71 Typical High $724.44 | Professional | Global | $104.71 | $104.71 | $724.44 |
Optum Setting Professional Modifier Global Typical Low $61.66 Median $75.86 Typical High $239.88 | Professional | Global | $61.66 | $75.86 | $239.88 |
Providence Setting Facility Modifier Global Typical Low $66.07 Median $87.10 Typical High $138.04 | Facility | Global | $66.07 | $87.10 | $138.04 |
Providence Setting Professional Modifier Global Typical Low $60.26 Median $87.10 Typical High $190.55 | Professional | Global | $60.26 | $87.10 | $190.55 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | Global | $165.96 | $165.96 | $165.96 |
The Alliance Setting Professional Modifier Global Typical Low $60.26 Median $67.61 Typical High $83.18 | Professional | Global | $60.26 | $67.61 | $83.18 |
United Setting Professional Modifier Global Typical Low $52.48 Median $74.13 Typical High $177.83 | Professional | Global | $52.48 | $74.13 | $177.83 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $83.18 Median $85.11 Typical High $95.50 | Professional | 25 · Same-day visit | $83.18 | $85.11 | $95.50 |
Where California sits
The same service costs 44.5 times more in Vermont than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
Physician feeFacility feeCalifornia $163 · 27th of 44
VT $5,446NH $122
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.