How much rates vary
Facilitymedian $1,738 · 10th to 90th $550 to $5,495Professionalmedian $363 · 10th to 90th $245 to $501
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 $3,715.35 Typical High $8,317.64 | Facility | None | $426.58 | $3,715.35 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $426.58 | Professional | None | $234.42 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $117.49 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $70.79 Typical High $85.11 | Professional | 53 · Discontinued | $46.77 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $263.03 Typical High $316.23 | Professional | 54 · Surgery only | $177.83 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $52.48 Typical High $63.10 | Professional | 55 · Aftercare only | $35.48 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $35.48 Typical High $42.66 | Professional | 56 · Pre-op care only | $23.44 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $245.47 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $165.96 | $245.47 | $295.12 |
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 $389.05 Median $416.87 Typical High $56,234.13 | Professional | None | $389.05 | $416.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $281.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $269.15 | $281.84 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,584.89 Typical High $2,691.53 | Facility | None | $524.81 | $1,584.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $575.44 | Professional | None | $257.04 | $354.81 | $575.44 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | None | $512.86 | $676.08 | $676.08 |
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 $263.03 Median $398.11 Typical High $676.08 | Professional | None | $263.03 | $398.11 | $676.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $5,128.61 | Facility | None | $1,288.25 | $1,288.25 | $5,128.61 |
Highmark BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $407.38 | Professional | None | $269.15 | $269.15 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $3,630.78 Typical High $8,128.31 | Facility | None | $426.58 | $3,630.78 | $8,128.31 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $426.58 | Professional | None | $234.42 | $363.08 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $117.49 | $173.78 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $46.77 | $69.18 | $85.11 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $263.03 Typical High $316.23 | Professional | 54 · Surgery only | $177.83 | $263.03 | $316.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $52.48 Typical High $63.10 | Professional | 55 · Aftercare only | $35.48 | $52.48 | $63.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $34.67 Typical High $42.66 | Professional | 56 · Pre-op care only | $23.44 | $34.67 | $42.66 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $245.47 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $165.96 | $245.47 | $295.12 |
Oscar Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | None | $457.09 | $457.09 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $1,258.93 Typical High $2,884.03 | Facility | None | $363.08 | $1,258.93 | $2,884.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $436.52 | Professional | None | $257.04 | $389.05 | $436.52 |
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 $263.03 Median $371.54 Typical High $549.54 | Professional | None | $263.03 | $371.54 | $549.54 |
Where Pennsylvania sits
The same service costs 6.3 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 $6,296MT $1,002
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.