How much rates vary
Facilitymedian $1,096 · 10th to 90th $417 to $5,495Professionalmedian $355 · 10th to 90th $117 to $646
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 $162.18 Median $1,318.26 Typical High $8,317.64 | Facility | None | $162.18 | $1,318.26 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $338.84 Typical High $426.58 | Professional | None | $117.49 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $100.00 Typical High $208.93 | Professional | 52 · Reduced service | $57.54 | $100.00 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $40.74 Typical High $83.18 | Professional | 53 · Discontinued | $23.44 | $40.74 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $151.36 Typical High $316.23 | Professional | 54 · Surgery only | $87.10 | $151.36 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $30.20 Typical High $63.10 | Professional | 55 · Aftercare only | $17.38 | $30.20 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $19.95 Typical High $41.69 | Professional | 56 · Pre-op care only | $11.75 | $19.95 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $123.03 | Professional | None | $54.95 | $123.03 | $123.03 |
AmeriHealth Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $10,000.00 | Facility | None | $2,951.21 | $3,715.35 | $10,000.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $56,234.13 | Professional | None | $190.55 | $204.17 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $1,445.44 | Facility | None | $478.63 | $776.25 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $288.40 Typical High $794.33 | Professional | None | $112.20 | $288.40 | $794.33 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $616.60 | Professional | None | $467.74 | $616.60 | $616.60 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,584.89 | Facility | None | $724.44 | $891.25 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $489.78 Typical High $1,202.26 | Professional | None | $154.88 | $489.78 | $1,202.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $7,585.78 | Facility | None | $2,089.30 | $3,890.45 | $7,585.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $14,791.08 | Facility | None | $2,344.23 | $3,715.35 | $14,791.08 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $1,513.56 Typical High $8,317.64 | Facility | None | $194.98 | $1,513.56 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $331.13 Typical High $416.87 | Professional | None | $117.49 | $331.13 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $100.00 Typical High $208.93 | Professional | 52 · Reduced service | $57.54 | $100.00 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $40.74 Typical High $83.18 | Professional | 53 · Discontinued | $23.44 | $40.74 | $83.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $151.36 Typical High $316.23 | Professional | 54 · Surgery only | $87.10 | $151.36 | $316.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $30.20 Typical High $63.10 | Professional | 55 · Aftercare only | $17.38 | $30.20 | $63.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $32.36 Typical High $41.69 | Professional | 56 · Pre-op care only | $11.75 | $32.36 | $41.69 |
Oscar Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $1,412.54 | Professional | None | $263.03 | $263.03 | $1,412.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $1,071.52 Typical High $2,511.89 | Facility | None | $371.54 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $407.38 Typical High $630.96 | Professional | None | $125.89 | $407.38 | $630.96 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,630.78 | Facility | None | $416.87 | $724.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $123.03 Median $281.84 Typical High $630.96 | Professional | None | $123.03 | $281.84 | $630.96 |
Where Pennsylvania sits
The same service costs 5.1 times more in Colorado than in North Dakota. 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
CO $4,353ND $853
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.