How much rates vary
Facilitymedian $1,698 · 10th to 90th $759 to $6,761Professionalmedian $759 · 10th to 90th $661 to $1,413
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 $758.58 Median $4,073.80 Typical High $8,511.38 | Facility | None | $758.58 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $794.33 | Professional | None | $660.69 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $537.03 Typical High $575.44 | Professional | 54 · Surgery only | $501.19 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $501.19 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $467.74 | $501.19 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $741.31 Median $758.58 Typical High $1,479.11 | Professional | None | $741.31 | $758.58 | $1,479.11 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,148.15 Typical High $2,238.72 | Professional | 50 · Both sides | $1,096.48 | $1,148.15 | $2,238.72 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $524.81 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $512.86 | $524.81 | $1,023.29 |
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 $707.95 Median $776.25 Typical High $1,584.89 | Professional | None | $707.95 | $776.25 | $1,584.89 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $891.25 | $1,202.26 | $1,202.26 |
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 $707.95 Median $891.25 Typical High $1,698.24 | Professional | None | $707.95 | $891.25 | $1,698.24 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $3,311.31 Typical High $19,952.62 | Facility | None | $1,737.80 | $3,311.31 | $19,952.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Martin's Point Setting Facility Modifier None Typical Low $776.25 Median $3,801.89 Typical High $8,317.64 | Facility | None | $776.25 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $776.25 | Professional | None | $660.69 | $724.44 | $776.25 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $537.03 Typical High $575.44 | Professional | 54 · Surgery only | $501.19 | $537.03 | $575.44 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $501.19 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $467.74 | $501.19 | $537.03 |
Oscar Health Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | None | $812.83 | $812.83 | $891.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $724.44 Median $6,606.93 Typical High $11,481.54 | Facility | None | $724.44 | $6,606.93 | $11,481.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | None | $724.44 | $741.31 | $741.31 |
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 $707.95 Median $812.83 Typical High $1,202.26 | Professional | None | $707.95 | $812.83 | $1,202.26 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin 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
WI $7,315MD $2,090
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.