How much rates vary
Facilitymedian $1,047 · 10th to 90th $355 to $5,012Professionalmedian $263 · 10th to 90th $126 to $427
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 $177.83 Median $1,230.27 Typical High $7,244.36 | Facility | None | $177.83 | $1,230.27 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $380.19 | Professional | None | $125.89 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $89.13 Typical High $151.36 | Professional | 52 · Reduced service | $63.10 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $35.48 Typical High $60.26 | Professional | 53 · Discontinued | $25.12 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $131.83 Typical High $223.87 | Professional | 54 · Surgery only | $95.50 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $26.30 Typical High $45.71 | Professional | 55 · Aftercare only | $19.05 | $26.30 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $17.78 Typical High $30.20 | Professional | 56 · Pre-op care only | $12.59 | $17.78 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
AmeriHealth Setting Facility Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $8,912.51 | Facility | None | $1,380.38 | $1,698.24 | $8,912.51 |
AmeriHealth Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $1,621.81 | Facility | None | $478.63 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $446.68 | Professional | None | $134.90 | $257.04 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | None | $501.19 | $501.19 | $512.86 |
Geisinger Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,778.28 | Facility | None | $812.83 | $1,023.29 | $1,778.28 |
Geisinger Setting Professional Modifier None Typical Low $165.96 Median $363.08 Typical High $602.56 | Professional | None | $165.96 | $363.08 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,235.94 Typical High $7,943.28 | Facility | None | $1,202.26 | $3,235.94 | $7,943.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $9,332.54 | Facility | None | $1,318.26 | $1,737.80 | $9,332.54 |
Independence Blue Cross Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $186.21 Median $1,513.56 Typical High $6,606.93 | Facility | None | $186.21 | $1,513.56 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $389.05 | Professional | None | $125.89 | $269.15 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $89.13 Typical High $151.36 | Professional | 52 · Reduced service | $63.10 | $89.13 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $35.48 Typical High $60.26 | Professional | 53 · Discontinued | $25.12 | $35.48 | $60.26 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $131.83 Typical High $223.87 | Professional | 54 · Surgery only | $95.50 | $131.83 | $223.87 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $26.30 Typical High $45.71 | Professional | 55 · Aftercare only | $19.05 | $26.30 | $45.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $17.78 Typical High $30.20 | Professional | 56 · Pre-op care only | $12.59 | $17.78 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $724.44 | Professional | None | $275.42 | $309.03 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $446.68 Typical High $1,047.13 | Facility | None | $251.19 | $446.68 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $380.19 | Professional | None | $125.89 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $457.09 | Professional | None | $123.03 | $239.88 | $457.09 |
Where Pennsylvania sits
The same service costs 7.5 times more in Colorado than in North Dakota. 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 $4,485ND $599
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.