How much rates vary
Facilitymedian $2,344 · 10th to 90th $407 to $7,762Professionalmedian $295 · 10th to 90th $229 to $708
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $407.38 Median $2,344.23 Typical High $7,762.47 | Facility | Global | $407.38 | $2,344.23 | $7,762.47 |
Aetna Setting Professional Modifier Global Typical Low $229.09 Median $295.12 Typical High $758.58 | Professional | Global | $229.09 | $295.12 | $758.58 |
Aetna Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $43.65 Typical High $134.90 | Professional | AS · PA/NP assist | $27.54 | $43.65 | $134.90 |
Ambetter Setting Professional Modifier Global Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | Global | $213.80 | $213.80 | $234.42 |
AmeriHealth Setting Facility Modifier Global Typical Low $3,019.95 Median $4,570.88 Typical High $15,488.17 | Facility | Global | $3,019.95 | $4,570.88 | $15,488.17 |
AmeriHealth Setting Professional Modifier Global Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | Global | $281.84 | $281.84 | $371.54 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $5,011.87 Median $8,511.38 Typical High $77,624.71 | Facility | Global | $5,011.87 | $8,511.38 | $77,624.71 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $257.04 Median $371.54 Typical High $478.63 | Professional | Global | $257.04 | $371.54 | $478.63 |
Cigna Setting Facility Modifier Global Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | Global | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 22 · Increased work | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 62 · Two surgeons | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | AS · PA/NP assist | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier Global Typical Low $245.47 Median $331.13 Typical High $524.81 | Professional | Global | $245.47 | $331.13 | $524.81 |
Emblem Health Setting Professional Modifier Global Typical Low $275.42 Median $363.08 Typical High $467.74 | Professional | Global | $275.42 | $363.08 | $467.74 |
Geisinger Setting Professional Modifier Global Typical Low $234.42 Median $309.03 Typical High $407.38 | Professional | Global | $234.42 | $309.03 | $407.38 |
Highmark BCBS Setting Facility Modifier Global Typical Low $302.00 Median $1,659.59 Typical High $4,466.84 | Facility | Global | $302.00 | $1,659.59 | $4,466.84 |
Highmark BCBS Setting Professional Modifier Global Typical Low $257.04 Median $316.23 Typical High $416.87 | Professional | Global | $257.04 | $316.23 | $416.87 |
Highmark BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $34.67 Typical High $56.23 | Professional | AS · PA/NP assist | $33.11 | $34.67 | $56.23 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $2,884.03 Median $3,715.35 Typical High $15,488.17 | Facility | Global | $2,884.03 | $3,715.35 | $15,488.17 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | Global | $281.84 | $281.84 | $371.54 |
Martin's Point Setting Facility Modifier Global Typical Low $426.58 Median $2,089.30 Typical High $7,244.36 | Facility | Global | $426.58 | $2,089.30 | $7,244.36 |
Martin's Point Setting Professional Modifier Global Typical Low $229.09 Median $295.12 Typical High $794.33 | Professional | Global | $229.09 | $295.12 | $794.33 |
Martin's Point Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $43.65 Typical High $104.71 | Professional | AS · PA/NP assist | $27.54 | $43.65 | $104.71 |
Oscar Health Setting Professional Modifier Global Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | Global | $288.40 | $295.12 | $295.12 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $251.19 Median $436.52 Typical High $794.33 | Facility | Global | $251.19 | $436.52 | $794.33 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $239.88 Median $257.04 Typical High $263.03 | Professional | Global | $239.88 | $257.04 | $263.03 |
United Setting Facility Modifier Global Typical Low $162.18 Median $630.96 Typical High $4,466.84 | Facility | Global | $162.18 | $630.96 | $4,466.84 |
United Setting Professional Modifier Global Typical Low $218.78 Median $316.23 Typical High $549.54 | Professional | Global | $218.78 | $316.23 | $549.54 |
United Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | AS · PA/NP assist | $83.18 | $83.18 | $83.18 |
Where Pennsylvania sits
The same service costs 18.4 times more in California than in Maryland. 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
CA $7,411MD $402
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.