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 $69.18 Median $75.86 Typical High $102.33 | Facility | Global | $69.18 | $75.86 | $102.33 |
Aetna Setting Professional Modifier Global Typical Low $69.18 Median $93.33 Typical High $173.78 | Professional | Global | $69.18 | $93.33 | $173.78 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $162.18 Typical High $162.18 | Professional | 25 · Same-day visit | $95.50 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier Global Typical Low $91.20 Median $102.33 Typical High $154.88 | Professional | Global | $91.20 | $102.33 | $154.88 |
AmeriHealth Setting Professional Modifier Global Typical Low $93.33 Median $93.33 Typical High $112.20 | Professional | Global | $93.33 | $93.33 | $112.20 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $95.50 Median $112.20 Typical High $165.96 | Professional | Global | $95.50 | $112.20 | $165.96 |
Cigna Setting Professional Modifier Global Typical Low $85.11 Median $112.20 Typical High $158.49 | Professional | Global | $85.11 | $112.20 | $158.49 |
Geisinger Setting Professional Modifier Global Typical Low $117.49 Median $165.96 Typical High $190.55 | Professional | Global | $117.49 | $165.96 | $190.55 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $79.43 Median $97.72 Typical High $112.20 | Professional | Global | $79.43 | $97.72 | $112.20 |
Martin's Point Setting Facility Modifier Global Typical Low $69.18 Median $77.62 Typical High $102.33 | Facility | Global | $69.18 | $77.62 | $102.33 |
Martin's Point Setting Professional Modifier Global Typical Low $69.18 Median $93.33 Typical High $186.21 | Professional | Global | $69.18 | $93.33 | $186.21 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | 25 · Same-day visit | $95.50 | $95.50 | $162.18 |
Optum Setting Professional Modifier Global Typical Low $54.95 Median $87.10 Typical High $112.20 | Professional | Global | $54.95 | $87.10 | $112.20 |
Oscar Health Setting Professional Modifier Global Typical Low $54.95 Median $87.10 Typical High $112.20 | Professional | Global | $54.95 | $87.10 | $112.20 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $75.86 Median $100.00 Typical High $158.49 | Facility | Global | $75.86 | $100.00 | $158.49 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $83.18 Median $87.10 Typical High $104.71 | Professional | Global | $83.18 | $87.10 | $104.71 |
United Setting Professional Modifier Global Typical Low $77.62 Median $104.71 Typical High $169.82 | Professional | Global | $77.62 | $104.71 | $169.82 |
Where Pennsylvania sits
The same service costs 2.5 times more in Wyoming than in Indiana. 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· 26th of 51
$93.33
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.