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 $7.24 Median $10.72 Typical High $16.22 | Facility | Global | $7.24 | $10.72 | $16.22 |
Aetna Setting Professional Modifier Global Typical Low $7.41 Median $15.14 Typical High $25.12 | Professional | Global | $7.41 | $15.14 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $5.50 Typical High $9.77 | Professional | 52 · Reduced service | $3.63 | $5.50 | $9.77 |
Ambetter Setting Professional Modifier Global Typical Low $10.00 Median $17.38 Typical High $19.05 | Professional | Global | $10.00 | $17.38 | $19.05 |
Anthem BCBS Setting Professional Modifier Global Typical Low $16.22 Median $19.50 Typical High $28.18 | Professional | Global | $16.22 | $19.50 | $28.18 |
CDPHP Setting Facility Modifier Global Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | Global | $13.18 | $13.18 | $13.18 |
CDPHP Setting Professional Modifier Global Typical Low $13.18 Median $13.18 Typical High $26.30 | Professional | Global | $13.18 | $13.18 | $26.30 |
Cigna Setting Facility Modifier Global Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | Global | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier Global Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | Global | $15.14 | $15.14 | $15.14 |
Emblem Health Setting Facility Modifier Global Typical Low $10.00 Median $10.00 Typical High $40.74 | Facility | Global | $10.00 | $10.00 | $40.74 |
Emblem Health Setting Professional Modifier Global Typical Low $21.38 Median $26.30 Typical High $39.81 | Professional | Global | $21.38 | $26.30 | $39.81 |
Excellus BCBS Setting Facility Modifier Global Typical Low $16.60 Median $16.60 Typical High $19.50 | Facility | Global | $16.60 | $16.60 | $19.50 |
Excellus BCBS Setting Professional Modifier Global Typical Low $14.13 Median $19.50 Typical High $39.81 | Professional | Global | $14.13 | $19.50 | $39.81 |
Fidelis Setting Professional Modifier 25 · Same-day visit Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | 25 · Same-day visit | $15.49 | $15.49 | $17.78 |
Highmark BCBS Setting Professional Modifier Global Typical Low $19.95 Median $22.91 Typical High $25.12 | Professional | Global | $19.95 | $22.91 | $25.12 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 25 · Same-day visit | $20.42 | $20.42 | $20.42 |
MVP Health Care Setting Professional Modifier Global Typical Low $18.62 Median $25.12 Typical High $43.65 | Professional | Global | $18.62 | $25.12 | $43.65 |
United Setting Facility Modifier Global Typical Low $9.77 Median $19.05 Typical High $112.20 | Facility | Global | $9.77 | $19.05 | $112.20 |
United Setting Professional Modifier Global Typical Low $12.59 Median $26.30 Typical High $162.18 | Professional | Global | $12.59 | $26.30 | $162.18 |
Univera Setting Facility Modifier Global Typical Low $7.94 Median $9.77 Typical High $16.60 | Facility | Global | $7.94 | $9.77 | $16.60 |
Univera Setting Professional Modifier Global Typical Low $13.18 Median $17.38 Typical High $32.36 | Professional | Global | $13.18 | $17.38 | $32.36 |
Where New York sits
The same service costs 1.8 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.
New York· 3rd of 51
$18.62
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.