How much rates vary
Facilitymedian $1,660 · 10th to 90th $501 to $5,495Professionalmedian $468 · 10th to 90th $331 to $661
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 $426.58 Median $1,288.25 Typical High $7,585.78 | Facility | None | $426.58 | $1,288.25 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $549.54 | Professional | None | $316.23 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $229.09 Typical High $269.15 | Professional | 52 · Reduced service | $158.49 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $91.20 Typical High $109.65 | Professional | 53 · Discontinued | $63.10 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $338.84 Typical High $407.38 | Professional | 54 · Surgery only | $234.42 | $338.84 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $69.18 Typical High $81.28 | Professional | 55 · Aftercare only | $47.86 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $45.71 Typical High $54.95 | Professional | 56 · Pre-op care only | $31.62 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $316.23 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $218.78 | $316.23 | $380.19 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,981.07 | $6,025.60 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,258.93 | Professional | None | $537.03 | $537.03 | $1,258.93 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $371.54 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $354.81 | $371.54 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,548.82 Typical High $2,630.27 | Facility | None | $478.63 | $1,548.82 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $776.25 | Professional | None | $346.74 | $457.09 | $776.25 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | None | $691.83 | $912.01 | $912.01 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,584.89 | $1,995.26 | $3,467.37 |
Geisinger Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $954.99 | Professional | None | $371.54 | $537.03 | $954.99 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $7,079.46 Typical High $10,715.19 | Facility | None | $1,445.44 | $7,079.46 | $10,715.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $426.58 | Professional | None | $281.84 | $281.84 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $501.19 Median $1,513.56 Typical High $7,413.10 | Facility | None | $501.19 | $1,513.56 | $7,413.10 |
Martin's Point Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $549.54 | Professional | None | $316.23 | $467.74 | $549.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $229.09 Typical High $269.15 | Professional | 52 · Reduced service | $158.49 | $229.09 | $269.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $91.20 Typical High $109.65 | Professional | 53 · Discontinued | $63.10 | $91.20 | $109.65 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $338.84 Typical High $407.38 | Professional | 54 · Surgery only | $234.42 | $338.84 | $407.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $67.61 Typical High $81.28 | Professional | 55 · Aftercare only | $47.86 | $67.61 | $81.28 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $45.71 Typical High $54.95 | Professional | 56 · Pre-op care only | $31.62 | $45.71 | $54.95 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $316.23 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $218.78 | $316.23 | $380.19 |
Oscar Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $977.24 | Professional | None | $575.44 | $575.44 | $977.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $446.68 Median $1,096.48 Typical High $2,511.89 | Facility | None | $446.68 | $1,096.48 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $501.19 | Professional | None | $346.74 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,466.84 | Facility | None | $812.83 | $1,318.26 | $4,466.84 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $707.95 | Professional | None | $354.81 | $478.63 | $707.95 |
Where Pennsylvania sits
The same service costs 4.9 times more in Colorado than in Montana. 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
CO $6,425MT $1,300
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.