How much rates vary
Facilitymedian $355 · 10th to 90th $98 to $3,802Professionalmedian $214 · 10th to 90th $129 to $331
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 $213.80 Median $2,951.21 Typical High $8,511.38 | Facility | None | $213.80 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $213.80 | Professional | None | $128.82 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $63.10 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $37.15 Typical High $42.66 | Professional | 53 · Discontinued | $25.70 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $138.04 Typical High $162.18 | Professional | 54 · Surgery only | $95.50 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $27.54 Typical High $32.36 | Professional | 55 · Aftercare only | $19.05 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $18.62 Typical High $21.38 | Professional | 56 · Pre-op care only | $12.88 | $18.62 | $21.38 |
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 $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $407.38 Typical High $794.33 | Facility | None | $117.49 | $407.38 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $346.74 | Professional | None | $141.25 | $223.87 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Geisinger Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $234.42 | Facility | None | $107.15 | $134.90 | $234.42 |
Geisinger Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $489.78 | Professional | None | $229.09 | $338.84 | $489.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $416.87 Typical High $436.52 | Facility | None | $398.11 | $416.87 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $213.80 | Professional | None | $128.82 | $204.17 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $63.10 | $91.20 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $37.15 Typical High $42.66 | Professional | 53 · Discontinued | $25.70 | $37.15 | $42.66 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $138.04 Typical High $162.18 | Professional | 54 · Surgery only | $95.50 | $138.04 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $27.54 Typical High $32.36 | Professional | 55 · Aftercare only | $19.05 | $27.54 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $18.62 Typical High $21.38 | Professional | 56 · Pre-op care only | $12.88 | $18.62 | $21.38 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | None | $371.54 | $371.54 | $630.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $1,071.52 Typical High $2,511.89 | Facility | None | $223.87 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $309.03 | Professional | None | $141.25 | $223.87 | $309.03 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $380.19 | Professional | None | $134.90 | $213.80 | $380.19 |
Where Pennsylvania sits
The same service costs 8.1 times more in New York 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
NY $2,896MD $358
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.