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 $28.84 Median $29.51 Typical High $35.48 | Facility | Global | $28.84 | $29.51 | $35.48 |
Aetna Setting Professional Modifier Global Typical Low $25.12 Median $31.62 Typical High $50.12 | Professional | Global | $25.12 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $36.31 Median $50.12 Typical High $158.49 | Professional | 25 · Same-day visit | $36.31 | $50.12 | $158.49 |
Ambetter Setting Professional Modifier Global Typical Low $25.70 Median $33.11 Typical High $51.29 | Professional | Global | $25.70 | $33.11 | $51.29 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 25 · Same-day visit | $31.62 | $31.62 | $31.62 |
AmeriHealth Setting Professional Modifier Global Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | Global | $144.54 | $144.54 | $147.91 |
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 $28.18 Median $33.11 Typical High $51.29 | Professional | Global | $28.18 | $33.11 | $51.29 |
Cigna Setting Facility Modifier Global Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | Global | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier Global Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | Global | $31.62 | $31.62 | $31.62 |
Emblem Health Setting Facility Modifier Global Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | Global | $61.66 | $61.66 | $61.66 |
Emblem Health Setting Professional Modifier Global Typical Low $39.81 Median $51.29 Typical High $69.18 | Professional | Global | $39.81 | $51.29 | $69.18 |
Geisinger Setting Professional Modifier Global Typical Low $32.36 Median $37.15 Typical High $63.10 | Professional | Global | $32.36 | $37.15 | $63.10 |
Highmark BCBS Setting Professional Modifier Global Typical Low $29.51 Median $34.67 Typical High $52.48 | Professional | Global | $29.51 | $34.67 | $52.48 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 25 · Same-day visit | $27.54 | $27.54 | $27.54 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | Global | $147.91 | $147.91 | $151.36 |
Martin's Point Setting Facility Modifier Global Typical Low $28.84 Median $28.84 Typical High $29.51 | Facility | Global | $28.84 | $28.84 | $29.51 |
Martin's Point Setting Professional Modifier Global Typical Low $25.70 Median $32.36 Typical High $61.66 | Professional | Global | $25.70 | $32.36 | $61.66 |
Martin's Point Setting Professional Modifier 25 · Same-day visit Typical Low $36.31 Median $50.12 Typical High $158.49 | Professional | 25 · Same-day visit | $36.31 | $50.12 | $158.49 |
Optum Setting Professional Modifier Global Typical Low $33.11 Median $36.31 Typical High $42.66 | Professional | Global | $33.11 | $36.31 | $42.66 |
Oscar Health Setting Professional Modifier Global Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | Global | $28.84 | $36.31 | $63.10 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $30.20 Median $31.62 Typical High $36.31 | Facility | Global | $30.20 | $31.62 | $36.31 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $30.20 Median $31.62 Typical High $36.31 | Professional | Global | $30.20 | $31.62 | $36.31 |
United Setting Professional Modifier Global Typical Low $27.54 Median $37.15 Typical High $64.57 | Professional | Global | $27.54 | $37.15 | $64.57 |
Where Pennsylvania sits
The same service costs 1.7 times more in Minnesota than in Texas. 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· 31st of 51
$31.62
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.