How much rates vary
Facilitymedian $58 · 10th to 90th $58 to $120Professionalmedian $66 · 10th to 90th $56 to $117
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 $57.54 Median $57.54 Typical High $120.23 | Facility | Global | $57.54 | $57.54 | $120.23 |
Aetna Setting Professional Modifier Global Typical Low $54.95 Median $63.10 Typical High $104.71 | Professional | Global | $54.95 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 25 · Same-day visit | $245.47 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier Global Typical Low $51.29 Median $69.18 Typical High $107.15 | Professional | Global | $51.29 | $69.18 | $107.15 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $63.10 Median $63.10 Typical High $95.50 | Professional | 25 · Same-day visit | $63.10 | $63.10 | $95.50 |
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 $70.79 Median $74.13 Typical High $123.03 | Professional | Global | $70.79 | $74.13 | $123.03 |
Cigna Setting Facility Modifier Global Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | Global | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier Global Typical Low $60.26 Median $83.18 Typical High $141.25 | Professional | Global | $60.26 | $83.18 | $141.25 |
Emblem Health Setting Facility Modifier Global Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | Global | $141.25 | $141.25 | $141.25 |
Emblem Health Setting Professional Modifier Global Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | Global | $91.20 | $117.49 | $158.49 |
Geisinger Setting Professional Modifier Global Typical Low $72.44 Median $85.11 Typical High $141.25 | Professional | Global | $72.44 | $85.11 | $141.25 |
Highmark BCBS Setting Professional Modifier Global Typical Low $61.66 Median $77.62 Typical High $120.23 | Professional | Global | $61.66 | $77.62 | $120.23 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $66.07 Median $83.18 Typical High $100.00 | Professional | 25 · Same-day visit | $66.07 | $83.18 | $100.00 |
Martin's Point Setting Facility Modifier Global Typical Low $57.54 Median $57.54 Typical High $120.23 | Facility | Global | $57.54 | $57.54 | $120.23 |
Martin's Point Setting Professional Modifier Global Typical Low $56.23 Median $66.07 Typical High $125.89 | Professional | Global | $56.23 | $66.07 | $125.89 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 25 · Same-day visit | $245.47 | $245.47 | $245.47 |
Oscar Health Setting Professional Modifier Global Typical Low $66.07 Median $97.72 Typical High $169.82 | Professional | Global | $66.07 | $97.72 | $169.82 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $69.18 Median $70.79 Typical High $81.28 | Facility | Global | $69.18 | $70.79 | $81.28 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $67.61 Median $70.79 Typical High $79.43 | Professional | Global | $67.61 | $70.79 | $79.43 |
United Setting Facility Modifier Global Typical Low $77.62 Median $77.62 Typical High $112.20 | Facility | Global | $77.62 | $77.62 | $112.20 |
United Setting Professional Modifier Global Typical Low $60.26 Median $79.43 Typical High $134.90 | Professional | Global | $60.26 | $79.43 | $134.90 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 25 · Same-day visit | $93.33 | $93.33 | $93.33 |
Where Pennsylvania sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 40th of 51
$66.07
MN $138KY $60.26
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.