How much rates vary
Facilitymedian $117 · 10th to 90th $102 to $174Professionalmedian $132 · 10th to 90th $91 to $219
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 $117.49 Median $117.49 Typical High $131.83 | Facility | Global | $117.49 | $117.49 | $131.83 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 25 · Same-day visit | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier Global Typical Low $91.20 Median $131.83 Typical High $223.87 | Professional | Global | $91.20 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $77.62 Median $138.04 Typical High $204.17 | Professional | 25 · Same-day visit | $77.62 | $138.04 | $204.17 |
Ambetter Setting Professional Modifier Global Typical Low $100.00 Median $112.20 Typical High $151.36 | Professional | Global | $100.00 | $112.20 | $151.36 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $72.44 Median $123.03 Typical High $162.18 | Professional | 25 · Same-day visit | $72.44 | $123.03 | $162.18 |
AmeriHealth Setting Professional Modifier Global Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | Global | $134.90 | $134.90 | $138.04 |
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 $128.82 Median $134.90 Typical High $194.98 | Professional | Global | $128.82 | $134.90 | $194.98 |
Cigna Setting Facility Modifier Global Typical Low $95.50 Median $186.21 Typical High $186.21 | Facility | Global | $95.50 | $186.21 | $186.21 |
Cigna Setting Professional Modifier Global Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | Global | $109.65 | $109.65 | $114.82 |
Emblem Health Setting Facility Modifier Global Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | Global | $309.03 | $309.03 | $309.03 |
Emblem Health Setting Professional Modifier Global Typical Low $165.96 Median $229.09 Typical High $288.40 | Professional | Global | $165.96 | $229.09 | $288.40 |
Geisinger Setting Professional Modifier Global Typical Low $131.83 Median $173.78 Typical High $263.03 | Professional | Global | $131.83 | $173.78 | $263.03 |
Highmark BCBS Setting Professional Modifier Global Typical Low $112.20 Median $131.83 Typical High $186.21 | Professional | Global | $112.20 | $131.83 | $186.21 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $112.20 Median $120.23 Typical High $131.83 | Professional | 25 · Same-day visit | $112.20 | $120.23 | $131.83 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | Global | $134.90 | $134.90 | $144.54 |
Martin's Point Setting Facility Modifier Global Typical Low $102.33 Median $117.49 Typical High $131.83 | Facility | Global | $102.33 | $117.49 | $131.83 |
Martin's Point Setting Facility Modifier 25 · Same-day visit Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 25 · Same-day visit | $125.89 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier Global Typical Low $91.20 Median $131.83 Typical High $234.42 | Professional | Global | $91.20 | $131.83 | $234.42 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $77.62 Median $144.54 Typical High $208.93 | Professional | 25 · Same-day visit | $77.62 | $144.54 | $208.93 |
Oscar Health Setting Professional Modifier Global Typical Low $100.00 Median $169.82 Typical High $295.12 | Professional | Global | $100.00 | $169.82 | $295.12 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $97.72 Median $173.78 Typical High $173.78 | Facility | Global | $97.72 | $173.78 | $173.78 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $97.72 Median $131.83 Typical High $177.83 | Professional | Global | $97.72 | $131.83 | $177.83 |
United Setting Facility Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | Global | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier Global Typical Low $100.00 Median $131.83 Typical High $223.87 | Professional | Global | $100.00 | $131.83 | $223.87 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 20th of 51
$132
NH $151MS $117
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.