How much rates vary
Facilitymedian $661 · 10th to 90th $87 to $6,166Professionalmedian $513 · 10th to 90th $447 to $955
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 $1,819.70 Typical High $7,244.36 | Facility | None | $524.81 | $1,819.70 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $549.54 | Professional | None | $446.68 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $239.88 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $389.05 | Professional | 54 · Surgery only | $331.13 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $77.62 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $51.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $1,000.00 | Professional | None | $478.63 | $501.19 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Facility | None | $457.09 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $1,047.13 | Professional | None | $467.74 | $588.84 | $1,047.13 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $776.25 | Professional | None | $549.54 | $776.25 | $776.25 |
Geisinger Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $954.99 | Professional | None | $389.05 | $549.54 | $954.99 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Highmark BCBS Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $2,041.74 | Professional | None | $467.74 | $489.78 | $2,041.74 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $1,995.26 Typical High $6,606.93 | Facility | None | $588.84 | $1,995.26 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $537.03 | Professional | None | $446.68 | $478.63 | $537.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $234.42 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $95.50 | $102.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $354.81 Typical High $389.05 | Professional | 54 · Surgery only | $331.13 | $354.81 | $389.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $77.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $51.29 |
Oscar Health Setting Professional Modifier None Typical Low $12.88 Median $549.54 Typical High $812.83 | Professional | None | $12.88 | $549.54 | $812.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $1,479.11 | Facility | None | $467.74 | $933.25 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $5,011.87 | Facility | None | $70.79 | $141.25 | $5,011.87 |
United Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $812.83 | Professional | None | $457.09 | $575.44 | $812.83 |
Where Pennsylvania sits
The same service costs 22.9 times more in Alabama than in Delaware. 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
AL $15,380DE $671
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.