How much rates vary
Facilitymedian $724 · 10th to 90th $269 to $3,890Professionalmedian $575 · 10th to 90th $120 to $977
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $218.78 Median $2,454.71 Typical High $8,317.64 | Facility | None | $218.78 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $537.03 Typical High $758.58 | Professional | None | $117.49 | $537.03 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $85.11 Typical High $309.03 | Professional | 52 · Reduced service | $58.88 | $85.11 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.88 Typical High $125.89 | Professional | 53 · Discontinued | $23.44 | $33.88 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $125.89 Typical High $467.74 | Professional | 54 · Surgery only | $87.10 | $125.89 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $74.13 Typical High $93.33 | Professional | 55 · Aftercare only | $17.78 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $48.98 Typical High $61.66 | Professional | 56 · Pre-op care only | $11.75 | $48.98 | $61.66 |
AmeriHealth Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $6,760.83 | Facility | None | $1,348.96 | $1,698.24 | $6,760.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $1,621.81 | Professional | None | $602.56 | $616.60 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $537.03 Typical High $812.83 | Facility | None | $79.43 | $537.03 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $323.59 Typical High $870.96 | Professional | None | $128.82 | $323.59 | $870.96 |
Emblem Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Geisinger Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $831.76 | Facility | None | $380.19 | $467.74 | $831.76 |
Geisinger Setting Professional Modifier None Typical Low $186.21 Median $794.33 Typical High $1,122.02 | Professional | None | $186.21 | $794.33 | $1,122.02 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,659.59 | $3,235.94 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $6,456.54 | Facility | None | $1,148.15 | $1,698.24 | $6,456.54 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $1,819.70 Typical High $7,244.36 | Facility | None | $218.78 | $1,819.70 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $575.44 Typical High $812.83 | Professional | None | $117.49 | $575.44 | $812.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $85.11 Typical High $309.03 | Professional | 52 · Reduced service | $58.88 | $85.11 | $309.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.88 Typical High $125.89 | Professional | 53 · Discontinued | $23.44 | $33.88 | $125.89 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $125.89 Typical High $467.74 | Professional | 54 · Surgery only | $87.10 | $125.89 | $467.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $25.12 Typical High $93.33 | Professional | 55 · Aftercare only | $17.78 | $25.12 | $93.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $16.98 Typical High $61.66 | Professional | 56 · Pre-op care only | $11.75 | $16.98 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | None | $870.96 | $870.96 | $912.01 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $1,071.52 Typical High $2,089.30 | Facility | None | $131.83 | $1,071.52 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $131.83 Median $616.60 Typical High $812.83 | Professional | None | $131.83 | $616.60 | $812.83 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $125.89 Median $416.87 Typical High $977.24 | Professional | None | $125.89 | $416.87 | $977.24 |
Where Pennsylvania sits
The same service costs 5.6 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $3,479MD $616
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.