How much rates vary
Facilitymedian $447 · 10th to 90th $100 to $3,802Professionalmedian $200 · 10th to 90th $115 to $316
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 $204.17 Median $2,818.38 Typical High $8,511.38 | Facility | None | $204.17 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $190.55 Typical High $204.17 | Professional | None | $112.20 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $22.39 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $125.89 Typical High $151.36 | Professional | 54 · Surgery only | $85.11 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $25.12 Typical High $30.20 | Professional | 55 · Aftercare only | $16.98 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.98 Typical High $20.42 | Professional | 56 · Pre-op care only | $11.22 | $16.98 | $20.42 |
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 $239.88 Median $436.52 Typical High $794.33 | Facility | None | $239.88 | $436.52 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $338.84 | Professional | None | $123.03 | $208.93 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $218.78 Median $269.15 Typical High $478.63 | Facility | None | $218.78 | $269.15 | $478.63 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $457.09 | Professional | None | $239.88 | $338.84 | $457.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $112.20 Median $190.55 Typical High $204.17 | Professional | None | $112.20 | $190.55 | $204.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $85.11 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $22.39 | $33.88 | $40.74 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $125.89 Typical High $151.36 | Professional | 54 · Surgery only | $85.11 | $125.89 | $151.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $25.12 Typical High $30.20 | Professional | 55 · Aftercare only | $16.98 | $25.12 | $30.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.98 Typical High $20.42 | Professional | 56 · Pre-op care only | $11.22 | $16.98 | $20.42 |
Oscar Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | None | $346.74 | $346.74 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $1,096.48 Typical High $2,511.89 | Facility | None | $208.93 | $1,096.48 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $288.40 | Professional | None | $125.89 | $208.93 | $288.40 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,348.96 | Facility | None | $77.62 | $158.49 | $1,348.96 |
United Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $354.81 | Professional | None | $120.23 | $199.53 | $354.81 |
Where Pennsylvania sits
The same service costs 7.2 times more in New York than in Michigan. 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 $2,740MI $382
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.