How much rates vary
Facilitymedian $1,096 · 10th to 90th $468 to $5,012Professionalmedian $245 · 10th to 90th $214 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 $588.84 Median $3,235.94 Typical High $8,511.38 | Facility | None | $588.84 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $251.19 | Professional | None | $213.80 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $50.12 | Professional | 53 · Discontinued | $43.65 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $177.83 Typical High $186.21 | Professional | 54 · Surgery only | $162.18 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $25.12 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $56,234.13 | Professional | None | $354.81 | $380.19 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $1,778.28 | Facility | None | $489.78 | $891.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $467.74 | Professional | None | $218.78 | $251.19 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $389.05 | Professional | None | $269.15 | $389.05 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $467.74 | Professional | None | $208.93 | $275.42 | $467.74 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $8,317.64 | Facility | None | $724.44 | $2,818.38 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $251.19 | Professional | None | $213.80 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $107.15 | $117.49 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $50.12 | Professional | 53 · Discontinued | $43.65 | $46.77 | $50.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $177.83 Typical High $186.21 | Professional | 54 · Surgery only | $162.18 | $177.83 | $186.21 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | 55 · Aftercare only | $32.36 | $35.48 | $37.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $501.19 | Professional | None | $194.98 | $194.98 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $1,548.82 Typical High $2,630.27 | Facility | None | $173.78 | $1,548.82 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,548.13 | Facility | None | $416.87 | $724.44 | $3,548.13 |
United Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $371.54 | Professional | None | $223.87 | $257.04 | $371.54 |
Where Pennsylvania sits
The same service costs 6.2 times more in Colorado than in Montana. 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 $4,689MT $752
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.