How much rates vary
Facilitymedian $29 · 10th to 90th $12 to $78Professionalmedian $15 · 10th to 90th $11 to $31
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 $12.02 Median $27.54 Typical High $67.61 | Facility | Global | $12.02 | $27.54 | $67.61 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 25 · Same-day visit | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier Global Typical Low $10.72 Median $15.14 Typical High $32.36 | Professional | Global | $10.72 | $15.14 | $32.36 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $15.85 Median $23.99 Typical High $51.29 | Professional | 25 · Same-day visit | $15.85 | $23.99 | $51.29 |
Ambetter Setting Professional Modifier Global Typical Low $10.47 Median $14.79 Typical High $20.42 | Professional | Global | $10.47 | $14.79 | $20.42 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $12.02 Median $14.79 Typical High $22.39 | Professional | 25 · Same-day visit | $12.02 | $14.79 | $22.39 |
AmeriHealth Setting Facility Modifier Global Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | Global | $1,819.70 | $1,819.70 | $1,819.70 |
AmeriHealth Setting Professional Modifier Global Typical Low $13.80 Median $16.22 Typical High $17.38 | Professional | Global | $13.80 | $16.22 | $17.38 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $8,511.38 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $8,511.38 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $14.13 Median $14.79 Typical High $22.39 | Professional | Global | $14.13 | $14.79 | $22.39 |
Cigna Setting Facility Modifier Global Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | Global | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier Global Typical Low $11.22 Median $15.14 Typical High $25.12 | Professional | Global | $11.22 | $15.14 | $25.12 |
Emblem Health Setting Facility Modifier Global Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | Global | $23.99 | $23.99 | $23.99 |
Emblem Health Setting Professional Modifier Global Typical Low $10.00 Median $21.38 Typical High $31.62 | Professional | Global | $10.00 | $21.38 | $31.62 |
Geisinger Setting Professional Modifier Global Typical Low $12.02 Median $16.60 Typical High $26.92 | Professional | Global | $12.02 | $16.60 | $26.92 |
Highmark BCBS Setting Facility Modifier Global Typical Low $23.44 Median $77.62 Typical High $177.83 | Facility | Global | $23.44 | $77.62 | $177.83 |
Highmark BCBS Setting Professional Modifier Global Typical Low $13.49 Median $15.85 Typical High $16.60 | Professional | Global | $13.49 | $15.85 | $16.60 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $13.80 Median $15.49 Typical High $15.85 | Professional | 25 · Same-day visit | $13.80 | $15.49 | $15.85 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | Global | $1,819.70 | $1,819.70 | $1,819.70 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $13.80 Median $16.22 Typical High $17.38 | Professional | Global | $13.80 | $16.22 | $17.38 |
Martin's Point Setting Facility Modifier Global Typical Low $11.22 Median $26.30 Typical High $67.61 | Facility | Global | $11.22 | $26.30 | $67.61 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | 25 · Same-day visit | $63.10 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier Global Typical Low $10.72 Median $14.45 Typical High $27.54 | Professional | Global | $10.72 | $14.45 | $27.54 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $15.14 Median $23.99 Typical High $52.48 | Professional | 25 · Same-day visit | $15.14 | $23.99 | $52.48 |
Optum Setting Professional Modifier Global Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | Global | $20.42 | $20.42 | $20.42 |
Oscar Health Setting Professional Modifier Global Typical Low $11.22 Median $18.62 Typical High $31.62 | Professional | Global | $11.22 | $18.62 | $31.62 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $14.45 Median $30.90 Typical High $47.86 | Facility | Global | $14.45 | $30.90 | $47.86 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $11.22 Median $14.45 Typical High $15.14 | Professional | Global | $11.22 | $14.45 | $15.14 |
United Setting Facility Modifier Global Typical Low $18.20 Median $109.65 Typical High $134.90 | Facility | Global | $18.20 | $109.65 | $134.90 |
United Setting Professional Modifier Global Typical Low $10.72 Median $14.79 Typical High $26.30 | Professional | Global | $10.72 | $14.79 | $26.30 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $16.98 Median $30.20 Typical High $95.50 | Professional | 25 · Same-day visit | $16.98 | $30.20 | $95.50 |
Where Pennsylvania sits
The same service costs 2.0 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· 15th of 51
$15.85
MN $24.55DE $12.02
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.