How much rates vary
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 Facility Modifier Global Typical Low $87.10 Median $263.03 Typical High $645.65 | Facility | Global | $87.10 | $263.03 | $645.65 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $354.81 Median $741.31 Typical High $977.24 | Facility | 25 · Same-day visit | $354.81 | $741.31 | $977.24 |
Aetna Setting Professional Modifier Global Typical Low $87.10 Median $109.65 Typical High $275.42 | Professional | Global | $87.10 | $109.65 | $275.42 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $173.78 Typical High $407.38 | Professional | 25 · Same-day visit | $95.50 | $173.78 | $407.38 |
Ambetter Setting Professional Modifier Global Typical Low $97.72 Median $120.23 Typical High $169.82 | Professional | Global | $97.72 | $120.23 | $169.82 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $100.00 Median $117.49 Typical High $177.83 | Professional | 25 · Same-day visit | $100.00 | $117.49 | $177.83 |
AmeriHealth Setting Facility Modifier Global Typical Low $18,620.87 Median $19,952.62 Typical High $21,877.62 | Facility | Global | $18,620.87 | $19,952.62 | $21,877.62 |
AmeriHealth Setting Professional Modifier Global Typical Low $114.82 Median $120.23 Typical High $208.93 | Professional | Global | $114.82 | $120.23 | $208.93 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $120.23 Median $123.03 Typical High $204.17 | Professional | Global | $120.23 | $123.03 | $204.17 |
Cigna Setting Facility Modifier Global Typical Low $141.25 Median $141.25 Typical High $3,715.35 | Facility | Global | $141.25 | $141.25 | $3,715.35 |
Cigna Setting Professional Modifier Global Typical Low $100.00 Median $131.83 Typical High $234.42 | Professional | Global | $100.00 | $131.83 | $234.42 |
Emblem Health Setting Facility Modifier Global Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | Global | $223.87 | $223.87 | $223.87 |
Emblem Health Setting Professional Modifier Global Typical Low $138.04 Median $223.87 Typical High $288.40 | Professional | Global | $138.04 | $223.87 | $288.40 |
Geisinger Setting Professional Modifier Global Typical Low $109.65 Median $147.91 Typical High $239.88 | Professional | Global | $109.65 | $147.91 | $239.88 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 25 · Same-day visit | $104.71 | $104.71 | $104.71 |
Highmark BCBS Setting Professional Modifier Global Typical Low $123.03 Median $138.04 Typical High $234.42 | Professional | Global | $123.03 | $138.04 | $234.42 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $114.82 Median $123.03 Typical High $229.09 | Professional | 25 · Same-day visit | $114.82 | $123.03 | $229.09 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $18,620.87 Median $19,952.62 Typical High $22,908.68 | Facility | Global | $18,620.87 | $19,952.62 | $22,908.68 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $114.82 Median $120.23 Typical High $213.80 | Professional | Global | $114.82 | $120.23 | $213.80 |
Martin's Point Setting Facility Modifier Global Typical Low $87.10 Median $95.50 Typical High $933.25 | Facility | Global | $87.10 | $95.50 | $933.25 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $338.84 Median $630.96 Typical High $977.24 | Facility | 25 · Same-day visit | $338.84 | $630.96 | $977.24 |
Martin's Point Setting Professional Modifier Global Typical Low $89.13 Median $120.23 Typical High $263.03 | Professional | Global | $89.13 | $120.23 | $263.03 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $181.97 Typical High $436.52 | Professional | 25 · Same-day visit | $95.50 | $181.97 | $436.52 |
Oscar Health Setting Facility Modifier Global Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | Global | $8,128.31 | $8,128.31 | $8,128.31 |
Oscar Health Setting Professional Modifier Global Typical Low $107.15 Median $181.97 Typical High $288.40 | Professional | Global | $107.15 | $181.97 | $288.40 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $125.89 Median $194.98 Typical High $281.84 | Facility | Global | $125.89 | $194.98 | $281.84 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $104.71 Median $117.49 Typical High $125.89 | Professional | Global | $104.71 | $117.49 | $125.89 |
United Setting Facility Modifier Global Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | Global | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier Global Typical Low $95.50 Median $125.89 Typical High $229.09 | Professional | Global | $95.50 | $125.89 | $229.09 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $87.10 Typical High $234.42 | Professional | 25 · Same-day visit | $79.43 | $87.10 | $234.42 |
Where Pennsylvania sits
The same service costs 2.2 times more in Minnesota than in Delaware. 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.
Pennsylvania· 34th of 51
$115
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.