How much rates vary
Facilitymedian $42 · 10th to 90th $22 to $65Professionalmedian $26 · 10th to 90th $21 to $46
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 $21.38 Median $33.88 Typical High $54.95 | Facility | Global | $21.38 | $33.88 | $54.95 |
Aetna Setting Professional Modifier Global Typical Low $20.89 Median $25.12 Typical High $45.71 | Professional | Global | $20.89 | $25.12 | $45.71 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $25.12 Median $67.61 Typical High $97.72 | Professional | 25 · Same-day visit | $25.12 | $67.61 | $97.72 |
Ambetter Setting Professional Modifier Global Typical Low $21.88 Median $27.54 Typical High $36.31 | Professional | Global | $21.88 | $27.54 | $36.31 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $23.99 Median $28.18 Typical High $31.62 | Professional | 25 · Same-day visit | $23.99 | $28.18 | $31.62 |
AmeriHealth Setting Professional Modifier Global Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | Global | $29.51 | $29.51 | $31.62 |
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 $27.54 Median $28.18 Typical High $47.86 | Professional | Global | $27.54 | $28.18 | $47.86 |
Cigna Setting Facility Modifier Global Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | Global | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier Global Typical Low $22.39 Median $30.20 Typical High $50.12 | Professional | Global | $22.39 | $30.20 | $50.12 |
Emblem Health Setting Facility Modifier Global Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | Global | $48.98 | $48.98 | $48.98 |
Emblem Health Setting Professional Modifier Global Typical Low $19.05 Median $40.74 Typical High $58.88 | Professional | Global | $19.05 | $40.74 | $58.88 |
Geisinger Setting Professional Modifier Global Typical Low $23.44 Median $31.62 Typical High $52.48 | Professional | Global | $23.44 | $31.62 | $52.48 |
Highmark BCBS Setting Facility Modifier Global Typical Low $20.89 Median $20.89 Typical High $107.15 | Facility | Global | $20.89 | $20.89 | $107.15 |
Highmark BCBS Setting Professional Modifier Global Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | Global | $29.51 | $29.51 | $33.88 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 25 · Same-day visit | $30.20 | $30.20 | $30.20 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | Global | $29.51 | $31.62 | $31.62 |
Martin's Point Setting Facility Modifier Global Typical Low $22.39 Median $33.88 Typical High $54.95 | Facility | Global | $22.39 | $33.88 | $54.95 |
Martin's Point Setting Professional Modifier Global Typical Low $21.88 Median $26.30 Typical High $47.86 | Professional | Global | $21.88 | $26.30 | $47.86 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $25.12 Median $67.61 Typical High $100.00 | Professional | 25 · Same-day visit | $25.12 | $67.61 | $100.00 |
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 $22.39 Median $37.15 Typical High $61.66 | Professional | Global | $22.39 | $37.15 | $61.66 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $28.84 Median $57.54 Typical High $83.18 | Facility | Global | $28.84 | $57.54 | $83.18 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $23.99 Median $26.30 Typical High $28.84 | Professional | Global | $23.99 | $26.30 | $28.84 |
United Setting Facility Modifier Global Typical Low $34.67 Median $109.65 Typical High $134.90 | Facility | Global | $34.67 | $109.65 | $134.90 |
United Setting Professional Modifier Global Typical Low $21.88 Median $28.84 Typical High $51.29 | Professional | Global | $21.88 | $28.84 | $51.29 |
Where Pennsylvania sits
The same service costs 2.1 times more in Minnesota than in Alabama. 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· 27th of 51
$26.30
MN $50.12AL $23.99
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.