How much rates vary
Facilitymedian $1,698 · 10th to 90th $813 to $6,166Professionalmedian $1,047 · 10th to 90th $933 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 $933.25 Median $1,000.00 Typical High $1,047.13 | Professional | None | $933.25 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $741.31 Typical High $794.33 | Professional | 54 · Surgery only | $691.83 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $707.95 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $645.65 | $707.95 | $741.31 |
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 $1,047.13 Median $1,071.52 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,071.52 | $2,089.30 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $1,621.81 Typical High $3,162.28 | Professional | 50 · Both sides | $1,548.82 | $1,621.81 | $3,162.28 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $1,445.44 |
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 $954.99 Median $1,023.29 Typical High $2,137.96 | Professional | None | $954.99 | $1,023.29 | $2,137.96 |
Emblem Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,621.81 | $1,621.81 |
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 $933.25 Median $1,230.27 Typical High $2,137.96 | Professional | None | $933.25 | $1,230.27 | $2,137.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $933.25 Median $1,000.00 Typical High $1,047.13 | Professional | None | $933.25 | $1,000.00 | $1,047.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $741.31 Typical High $794.33 | Professional | 54 · Surgery only | $691.83 | $741.31 | $794.33 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $691.83 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $645.65 | $691.83 | $741.31 |
Oscar Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,174.90 | Professional | None | $954.99 | $954.99 | $1,174.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $5,128.61 | Facility | None | $933.25 | $2,951.21 | $5,128.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | None | $933.25 | $933.25 | $1,000.00 |
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 $954.99 Median $1,148.15 Typical High $1,698.24 | Professional | None | $954.99 | $1,148.15 | $1,698.24 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.