How much rates vary
Facilitymedian $550 · 10th to 90th $155 to $3,715Professionalmedian $178 · 10th to 90th $123 to $407
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 $120.23 Median $173.78 Typical High $416.87 | Professional | Global | $120.23 | $173.78 | $416.87 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $144.54 Median $316.23 Typical High $446.68 | Professional | 25 · Same-day visit | $144.54 | $316.23 | $446.68 |
Ambetter Setting Professional Modifier Global Typical Low $169.82 Median $213.80 Typical High $338.84 | Professional | Global | $169.82 | $213.80 | $338.84 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $173.78 Median $257.04 Typical High $645.65 | Professional | 25 · Same-day visit | $173.78 | $257.04 | $645.65 |
AmeriHealth Setting Facility Modifier Global Typical Low $977.24 Median $1,659.59 Typical High $4,466.84 | Facility | Global | $977.24 | $1,659.59 | $4,466.84 |
AmeriHealth Setting Professional Modifier Global Typical Low $169.82 Median $186.21 Typical High $245.47 | Professional | Global | $169.82 | $186.21 | $245.47 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | Global | $3,715.35 | $3,715.35 | $3,715.35 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $177.83 Median $218.78 Typical High $331.13 | Professional | Global | $177.83 | $218.78 | $331.13 |
Cigna Setting Professional Modifier Global Typical Low $154.88 Median $213.80 Typical High $436.52 | Professional | Global | $154.88 | $213.80 | $436.52 |
Emblem Health Setting Facility Modifier Global Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | Global | $380.19 | $380.19 | $380.19 |
Emblem Health Setting Professional Modifier Global Typical Low $173.78 Median $288.40 Typical High $363.08 | Professional | Global | $173.78 | $288.40 | $363.08 |
Geisinger Setting Professional Modifier Global Typical Low $162.18 Median $218.78 Typical High $371.54 | Professional | Global | $162.18 | $218.78 | $371.54 |
Highmark BCBS Setting Facility Modifier Global Typical Low $1,659.59 Median $2,041.74 Typical High $2,951.21 | Facility | Global | $1,659.59 | $2,041.74 | $2,951.21 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $1,548.82 Median $1,737.80 Typical High $8,317.64 | Facility | 25 · Same-day visit | $1,548.82 | $1,737.80 | $8,317.64 |
Highmark BCBS Setting Professional Modifier Global Typical Low $186.21 Median $223.87 Typical High $380.19 | Professional | Global | $186.21 | $223.87 | $380.19 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $190.55 Median $263.03 Typical High $346.74 | Professional | 25 · Same-day visit | $190.55 | $263.03 | $346.74 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $977.24 Median $4,466.84 Typical High $4,466.84 | Facility | Global | $977.24 | $4,466.84 | $4,466.84 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $158.49 Median $199.53 Typical High $263.03 | Professional | Global | $158.49 | $199.53 | $263.03 |
Martin's Point Setting Facility Modifier Global Typical Low $141.25 Median $302.00 Typical High $1,445.44 | Facility | Global | $141.25 | $302.00 | $1,445.44 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $602.56 Median $1,513.56 Typical High $7,762.47 | Facility | 25 · Same-day visit | $602.56 | $1,513.56 | $7,762.47 |
Martin's Point Setting Professional Modifier Global Typical Low $134.90 Median $181.97 Typical High $407.38 | Professional | Global | $134.90 | $181.97 | $407.38 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $144.54 Median $316.23 Typical High $436.52 | Professional | 25 · Same-day visit | $144.54 | $316.23 | $436.52 |
Optum Setting Professional Modifier Global Typical Low $151.36 Median $181.97 Typical High $213.80 | Professional | Global | $151.36 | $181.97 | $213.80 |
Oscar Health Setting Professional Modifier Global Typical Low $162.18 Median $194.98 Typical High $398.11 | Professional | Global | $162.18 | $194.98 | $398.11 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $323.59 Median $489.78 Typical High $1,479.11 | Facility | Global | $323.59 | $489.78 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $165.96 Median $173.78 Typical High $177.83 | Professional | Global | $165.96 | $173.78 | $177.83 |
United Setting Professional Modifier Global Typical Low $141.25 Median $194.98 Typical High $398.11 | Professional | Global | $141.25 | $194.98 | $398.11 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $89.13 Typical High $245.47 | Professional | 25 · Same-day visit | $79.43 | $89.13 | $245.47 |
Where Pennsylvania sits
The same service costs 18.8 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 feePennsylvania $727 · 10th of 43
VT $5,557NH $295
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.