How much rates vary
Facilitymedian $1,622 · 10th to 90th $813 to $6,026Professionalmedian $1,096 · 10th to 90th $955 to $1,995
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 $891.25 Median $4,073.80 Typical High $8,317.64 | Facility | None | $891.25 | $4,073.80 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,096.48 | Professional | None | $954.99 | $1,023.29 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $831.76 | Professional | 54 · Surgery only | $707.95 | $776.25 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $724.44 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $660.69 | $724.44 | $776.25 |
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 $1,071.52 Median $1,096.48 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,096.48 | $2,041.74 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $758.58 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $724.44 | $758.58 | $1,412.54 |
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 $1,023.29 Median $1,122.02 Typical High $2,290.87 | Professional | None | $1,023.29 | $1,122.02 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,698.24 | $1,698.24 |
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 $977.24 Median $1,258.93 Typical High $2,344.23 | Professional | None | $977.24 | $1,258.93 | $2,344.23 |
Martin's Point Setting Facility Modifier None Typical Low $954.99 Median $3,801.89 Typical High $8,317.64 | Facility | None | $954.99 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,096.48 | Professional | None | $954.99 | $1,023.29 | $1,096.48 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $707.95 | $758.58 | $831.76 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $660.69 | $707.95 | $776.25 |
Oscar Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,023.29 | $1,047.13 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,023.29 | $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 $1,000.00 Median $1,148.15 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,148.15 | $1,737.80 |
Where Pennsylvania sits
The same service costs 3.6 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 $8,126KY $2,271
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.