How much rates vary
Facilitymedian $617 · 10th to 90th $69 to $4,467Professionalmedian $66 · 10th to 90th $48 to $115
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 $60.26 Median $1,513.56 Typical High $7,585.78 | Facility | None | $60.26 | $1,513.56 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $85.11 | Professional | None | $47.86 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $23.44 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $46.77 Typical High $51.29 | Professional | 54 · Surgery only | $35.48 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $9.33 Typical High $10.23 | Professional | 55 · Aftercare only | $7.08 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.17 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.68 | $6.17 | $6.92 |
AmeriHealth Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $5,495.41 | Facility | None | $2,454.71 | $3,162.28 | $5,495.41 |
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 $63.10 Median $102.33 Typical High $144.54 | Professional | None | $63.10 | $102.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $977.24 | Facility | None | $436.52 | $588.84 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $104.71 | Professional | None | $46.77 | $74.13 | $104.71 |
Emblem Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
Geisinger Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $144.54 | Professional | None | $58.88 | $85.11 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $1,905.46 | Facility | None | $229.09 | $229.09 | $1,905.46 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $5,248.07 | Facility | None | $2,137.96 | $3,162.28 | $5,248.07 |
Martin's Point Setting Facility Modifier None Typical Low $69.18 Median $1,584.89 Typical High $7,244.36 | Facility | None | $69.18 | $1,584.89 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $89.13 | Professional | None | $47.86 | $63.10 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $23.44 | $30.90 | $34.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.59 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $12.59 | $13.80 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $46.77 Typical High $51.29 | Professional | 54 · Surgery only | $35.48 | $46.77 | $51.29 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $9.33 Typical High $10.23 | Professional | 55 · Aftercare only | $7.08 | $9.33 | $10.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.17 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.68 | $6.17 | $6.92 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $158.49 | Professional | None | $74.13 | $87.10 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $323.59 Typical High $851.14 | Facility | None | $47.86 | $323.59 | $851.14 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $83.18 | Professional | None | $47.86 | $61.66 | $83.18 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $109.65 | Professional | None | $45.71 | $64.57 | $109.65 |
Where Pennsylvania sits
The same service costs 25.1 times more in Connecticut than in West Virginia. 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
CT $3,559WV $142
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.