How much rates vary
Facilitymedian $1,660 · 10th to 90th $813 to $7,079Professionalmedian $1,047 · 10th to 90th $912 to $1,905
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 $933.25 Median $3,235.94 Typical High $8,511.38 | Facility | None | $933.25 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,047.13 | Professional | None | $912.01 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $741.31 Typical High $776.25 | Professional | 54 · Surgery only | $676.08 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $691.83 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $630.96 | $691.83 | $724.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,047.13 | $2,041.74 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $724.44 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $691.83 | $724.44 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,513.56 Typical High $2,691.53 | Facility | None | $549.54 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $2,187.76 | Professional | None | $977.24 | $1,096.48 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,548.82 | $1,548.82 |
Geisinger Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,202.26 | $1,513.56 | $2,630.27 |
Geisinger Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,187.76 | Professional | None | $912.01 | $1,202.26 | $2,187.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Facility | None | $16,595.87 | $16,595.87 | $16,595.87 |
Martin's Point Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $8,317.64 | Facility | None | $954.99 | $2,818.38 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,047.13 | Professional | None | $912.01 | $977.24 | $1,047.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $676.08 | $724.44 | $776.25 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $676.08 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $630.96 | $676.08 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | None | $954.99 | $954.99 | $1,148.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $977.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $977.24 | $8,912.51 | $15,488.17 |
UPMC Health Plan Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | None | $977.24 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,265.80 | Facility | None | $812.83 | $1,318.26 | $4,265.80 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,659.59 | Professional | None | $954.99 | $1,096.48 | $1,659.59 |
Where Pennsylvania sits
The same service costs 3.4 times more in Wisconsin than in Kentucky. 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
WI $7,760KY $2,277
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.