How much rates vary
Facilitymedian $1,122 · 10th to 90th $537 to $4,898Professionalmedian $437 · 10th to 90th $339 to $589
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 $524.81 Median $2,951.21 Typical High $8,511.38 | Facility | None | $524.81 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $524.81 | Professional | None | $338.84 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $169.82 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $67.61 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $251.19 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $51.29 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $33.88 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $239.88 | $295.12 | $363.08 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,981.07 | $6,025.60 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | None | $575.44 | $724.44 | $724.44 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $346.74 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $338.84 | $346.74 | $602.56 |
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 $309.03 Median $407.38 Typical High $776.25 | Professional | None | $309.03 | $407.38 | $776.25 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $933.25 | Professional | None | $691.83 | $933.25 | $933.25 |
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 $371.54 Median $602.56 Typical High $912.01 | Professional | None | $371.54 | $602.56 | $912.01 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $338.84 Median $426.58 Typical High $524.81 | Professional | None | $338.84 | $426.58 | $524.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $169.82 | $213.80 | $263.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $67.61 | $85.11 | $104.71 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $251.19 | $316.23 | $389.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $51.29 | $63.10 | $77.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $33.88 | $42.66 | $52.48 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $239.88 | $295.12 | $363.08 |
Oscar Health Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $831.76 | Professional | None | $575.44 | $602.56 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $346.74 Median $1,071.52 Typical High $2,511.89 | Facility | None | $346.74 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $537.03 | Professional | None | $346.74 | $478.63 | $537.03 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $3,890.45 | Facility | None | $812.83 | $1,318.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $676.08 | Professional | None | $331.13 | $436.52 | $676.08 |
Where Pennsylvania sits
The same service costs 3.7 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 $4,890MT $1,327
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.