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 $109.65 Median $162.18 Typical High $562.34 | Facility | Global | $109.65 | $162.18 | $562.34 |
Aetna Setting Professional Modifier Global Typical Low $109.65 Median $169.82 Typical High $389.05 | Professional | Global | $109.65 | $169.82 | $389.05 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $181.97 Median $281.84 Typical High $407.38 | Professional | 25 · Same-day visit | $181.97 | $281.84 | $407.38 |
Ambetter Setting Professional Modifier Global Typical Low $169.82 Median $269.15 Typical High $398.11 | Professional | Global | $169.82 | $269.15 | $398.11 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $208.93 Median $295.12 Typical High $416.87 | Professional | 25 · Same-day visit | $208.93 | $295.12 | $416.87 |
AmeriHealth Setting Professional Modifier Global Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | Global | $181.97 | $213.80 | $229.09 |
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 $204.17 Median $213.80 Typical High $346.74 | Professional | Global | $204.17 | $213.80 | $346.74 |
Cigna Setting Professional Modifier Global Typical Low $134.90 Median $194.98 Typical High $295.12 | Professional | Global | $134.90 | $194.98 | $295.12 |
Emblem Health Setting Professional Modifier Global Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | Global | $371.54 | $371.54 | $371.54 |
Geisinger Setting Professional Modifier Global Typical Low $158.49 Median $181.97 Typical High $354.81 | Professional | Global | $158.49 | $181.97 | $354.81 |
Highmark BCBS Setting Facility Modifier Global Typical Low $251.19 Median $346.74 Typical High $602.56 | Facility | Global | $251.19 | $346.74 | $602.56 |
Highmark BCBS Setting Facility Modifier 25 · Same-day visit Typical Low $524.81 Median $616.60 Typical High $741.31 | Facility | 25 · Same-day visit | $524.81 | $616.60 | $741.31 |
Highmark BCBS Setting Professional Modifier Global Typical Low $190.55 Median $245.47 Typical High $257.04 | Professional | Global | $190.55 | $245.47 | $257.04 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | 25 · Same-day visit | $173.78 | $223.87 | $263.03 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | Global | $181.97 | $213.80 | $213.80 |
Martin's Point Setting Facility Modifier Global Typical Low $112.20 Median $169.82 Typical High $912.01 | Facility | Global | $112.20 | $169.82 | $912.01 |
Martin's Point Setting Professional Modifier Global Typical Low $112.20 Median $173.78 Typical High $371.54 | Professional | Global | $112.20 | $173.78 | $371.54 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $169.82 Median $269.15 Typical High $407.38 | Professional | 25 · Same-day visit | $169.82 | $269.15 | $407.38 |
Oscar Health Setting Professional Modifier Global Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | Global | $128.82 | $128.82 | $128.82 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $138.04 Median $245.47 Typical High $436.52 | Facility | Global | $138.04 | $245.47 | $436.52 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | Global | $131.83 | $144.54 | $199.53 |
United Setting Facility Modifier Global Typical Low $177.83 Median $323.59 Typical High $446.68 | Facility | Global | $177.83 | $323.59 | $446.68 |
United Setting Professional Modifier Global Typical Low $123.03 Median $190.55 Typical High $295.12 | Professional | Global | $123.03 | $190.55 | $295.12 |
Where Pennsylvania sits
The same service costs 2.1 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· 16th of 51
$174
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.