How much rates vary
Facilitymedian $126 · 10th to 90th $95 to $182Professionalmedian $126 · 10th to 90th $95 to $380
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 $95.50 Median $120.23 Typical High $407.38 | Professional | Global | $95.50 | $120.23 | $407.38 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $281.84 Typical High $1,288.25 | Professional | 25 · Same-day visit | $95.50 | $281.84 | $1,288.25 |
Ambetter Setting Professional Modifier Global Typical Low $107.15 Median $125.89 Typical High $186.21 | Professional | Global | $107.15 | $125.89 | $186.21 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $117.49 Median $131.83 Typical High $194.98 | Professional | 25 · Same-day visit | $117.49 | $131.83 | $194.98 |
BCBS Setting Facility Modifier Global Typical Low $181.97 Median $204.17 Typical High $645.65 | Facility | Global | $181.97 | $204.17 | $645.65 |
BCBS Setting Professional Modifier Global Typical Low $173.78 Median $194.98 Typical High $204.17 | Professional | Global | $173.78 | $194.98 | $204.17 |
CareSource Setting Facility Modifier Global Typical Low $91.20 Median $134.90 Typical High $165.96 | Facility | Global | $91.20 | $134.90 | $165.96 |
CareSource Setting Professional Modifier Global Typical Low $109.65 Median $134.90 Typical High $158.49 | Professional | Global | $109.65 | $134.90 | $158.49 |
Cigna Setting Professional Modifier Global Typical Low $97.72 Median $138.04 Typical High $478.63 | Professional | Global | $97.72 | $138.04 | $478.63 |
Health Alliance Plan Setting Facility Modifier Global Typical Low $95.50 Median $120.23 Typical High $131.83 | Facility | Global | $95.50 | $120.23 | $131.83 |
Health Alliance Plan Setting Facility Modifier 25 · Same-day visit Typical Low $1,148.15 Median $1,258.93 Typical High $7,413.10 | Facility | 25 · Same-day visit | $1,148.15 | $1,258.93 | $7,413.10 |
Health Alliance Plan Setting Professional Modifier Global Typical Low $93.33 Median $125.89 Typical High $213.80 | Professional | Global | $93.33 | $125.89 | $213.80 |
Priority Health Setting Professional Modifier Global Typical Low $165.96 Median $263.03 Typical High $660.69 | Professional | Global | $165.96 | $263.03 | $660.69 |
United Setting Facility Modifier Global Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | Global | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier Global Typical Low $107.15 Median $165.96 Typical High $467.74 | Professional | Global | $107.15 | $165.96 | $467.74 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $89.13 Typical High $173.78 | Professional | 25 · Same-day visit | $79.43 | $89.13 | $173.78 |
Where Michigan sits
The same service costs 27.2 times more in Vermont than in New Hampshire. 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 $5,508NH $203
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.