How much rates vary
Facilitymedian $9 · 10th to 90th $9 to $36Professionalmedian $10 · 10th to 90th $8 to $22
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 $8.71 Median $8.71 Typical High $36.31 | Facility | Global | $8.71 | $8.71 | $36.31 |
Aetna Setting Professional Modifier Global Typical Low $7.94 Median $9.12 Typical High $19.50 | Professional | Global | $7.94 | $9.12 | $19.50 |
Ambetter Setting Professional Modifier Global Typical Low $16.22 Median $19.95 Typical High $21.88 | Professional | Global | $16.22 | $19.95 | $21.88 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 25 · Same-day visit | $22.91 | $22.91 | $22.91 |
AmeriHealth Setting Professional Modifier Global Typical Low $14.13 Median $14.13 Typical High $26.30 | Professional | Global | $14.13 | $14.13 | $26.30 |
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 $15.49 Median $20.42 Typical High $25.12 | Professional | Global | $15.49 | $20.42 | $25.12 |
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 $9.12 Median $12.88 Typical High $28.84 | Professional | Global | $9.12 | $12.88 | $28.84 |
Emblem Health Setting Facility Modifier Global Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | Global | $52.48 | $52.48 | $52.48 |
Emblem Health Setting Professional Modifier Global Typical Low $28.84 Median $39.81 Typical High $47.86 | Professional | Global | $28.84 | $39.81 | $47.86 |
Geisinger Setting Professional Modifier Global Typical Low $8.32 Median $22.91 Typical High $38.02 | Professional | Global | $8.32 | $22.91 | $38.02 |
Highmark BCBS Setting Professional Modifier Global Typical Low $9.55 Median $19.05 Typical High $20.89 | Professional | Global | $9.55 | $19.05 | $20.89 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $14.13 Median $26.30 Typical High $26.30 | Professional | Global | $14.13 | $26.30 | $26.30 |
Martin's Point Setting Facility Modifier Global Typical Low $8.71 Median $8.71 Typical High $36.31 | Facility | Global | $8.71 | $8.71 | $36.31 |
Martin's Point Setting Professional Modifier Global Typical Low $7.94 Median $10.23 Typical High $25.12 | Professional | Global | $7.94 | $10.23 | $25.12 |
Optum Setting Professional Modifier Global Typical Low $10.47 Median $13.80 Typical High $25.70 | Professional | Global | $10.47 | $13.80 | $25.70 |
Oscar Health Setting Professional Modifier Global Typical Low $11.75 Median $22.91 Typical High $45.71 | Professional | Global | $11.75 | $22.91 | $45.71 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $9.12 Median $9.12 Typical High $17.78 | Facility | Global | $9.12 | $9.12 | $17.78 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $9.12 Median $17.78 Typical High $19.50 | Professional | Global | $9.12 | $17.78 | $19.50 |
United Setting Facility Modifier Global Typical Low $10.00 Median $10.00 Typical High $25.70 | Facility | Global | $10.00 | $10.00 | $25.70 |
United Setting Professional Modifier Global Typical Low $8.32 Median $11.75 Typical High $27.54 | Professional | Global | $8.32 | $11.75 | $27.54 |
Where Pennsylvania sits
The same service costs 4.7 times more in Minnesota than in Kansas. 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· 39th of 51
$9.77
MN $39.81KS $8.51
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.