How much rates vary
Facilitymedian $95 · 10th to 90th $32 to $263Professionalmedian $41 · 10th to 90th $25 to $76
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 $26.30 Median $93.33 Typical High $218.78 | Facility | Global | $26.30 | $93.33 | $218.78 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $16.60 Median $16.60 Typical High $95.50 | Facility | 25 · Same-day visit | $16.60 | $16.60 | $95.50 |
Aetna Setting Professional Modifier Global Typical Low $25.12 Median $38.90 Typical High $81.28 | Professional | Global | $25.12 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $46.77 Median $56.23 Typical High $91.20 | Professional | 25 · Same-day visit | $46.77 | $56.23 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $15.14 Typical High $21.38 | Professional | 52 · Reduced service | $11.22 | $15.14 | $21.38 |
Ambetter Setting Professional Modifier Global Typical Low $32.36 Median $36.31 Typical High $46.77 | Professional | Global | $32.36 | $36.31 | $46.77 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 25 · Same-day visit | $38.02 | $38.02 | $39.81 |
AmeriHealth Setting Facility Modifier Global Typical Low $190.55 Median $389.05 Typical High $446.68 | Facility | Global | $190.55 | $389.05 | $446.68 |
AmeriHealth Setting Professional Modifier Global Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | Global | $40.74 | $40.74 | $42.66 |
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 $39.81 Median $39.81 Typical High $66.07 | Professional | Global | $39.81 | $39.81 | $66.07 |
Cigna Setting Facility Modifier Global Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | Global | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | Global | $37.15 | $37.15 | $37.15 |
Emblem Health Setting Facility Modifier Global Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | Global | $56.23 | $56.23 | $56.23 |
Emblem Health Setting Professional Modifier Global Typical Low $47.86 Median $64.57 Typical High $81.28 | Professional | Global | $47.86 | $64.57 | $81.28 |
Geisinger Setting Professional Modifier Global Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | Global | $33.11 | $42.66 | $72.44 |
Highmark BCBS Setting Facility Modifier Global Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | Global | $398.11 | $398.11 | $398.11 |
Highmark BCBS Setting Professional Modifier Global Typical Low $33.11 Median $38.02 Typical High $74.13 | Professional | Global | $33.11 | $38.02 | $74.13 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $35.48 Median $35.48 Typical High $75.86 | Professional | 25 · Same-day visit | $35.48 | $35.48 | $75.86 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $204.17 Median $288.40 Typical High $436.52 | Facility | Global | $204.17 | $288.40 | $436.52 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | Global | $40.74 | $40.74 | $41.69 |
Martin's Point Setting Facility Modifier Global Typical Low $26.30 Median $97.72 Typical High $251.19 | Facility | Global | $26.30 | $97.72 | $251.19 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $16.60 Median $95.50 Typical High $112.20 | Facility | 25 · Same-day visit | $16.60 | $95.50 | $112.20 |
Martin's Point Setting Professional Modifier Global Typical Low $25.12 Median $36.31 Typical High $77.62 | Professional | Global | $25.12 | $36.31 | $77.62 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $46.77 Median $56.23 Typical High $91.20 | Professional | 25 · Same-day visit | $46.77 | $56.23 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $15.49 Typical High $21.38 | Professional | 52 · Reduced service | $11.48 | $15.49 | $21.38 |
Oscar Health Setting Professional Modifier Global Typical Low $75.86 Median $79.43 Typical High $102.33 | Professional | Global | $75.86 | $79.43 | $102.33 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $32.36 Median $66.07 Typical High $97.72 | Facility | Global | $32.36 | $66.07 | $97.72 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $26.30 Median $37.15 Typical High $38.90 | Professional | Global | $26.30 | $37.15 | $38.90 |
United Setting Facility Modifier Global Typical Low $204.17 Median $295.12 Typical High $363.08 | Facility | Global | $204.17 | $295.12 | $363.08 |
United Setting Professional Modifier Global Typical Low $25.12 Median $37.15 Typical High $69.18 | Professional | Global | $25.12 | $37.15 | $69.18 |
Where Pennsylvania sits
The same service costs 1.9 times more in Minnesota than in Mississippi. 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· 13th of 51
$40.74
MN $58.88MS $30.90
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.