How much rates vary
Facilitymedian $589 · 10th to 90th $72 to $4,365Professionalmedian $81 · 10th to 90th $60 to $138
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 $77.62 Median $1,513.56 Typical High $7,585.78 | Facility | None | $77.62 | $1,513.56 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $100.00 | Professional | None | $60.26 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $12.02 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $57.54 Typical High $64.57 | Professional | 54 · Surgery only | $45.71 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.75 Typical High $12.88 | Professional | 55 · Aftercare only | $9.12 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.03 | $7.76 | $8.51 |
AmeriHealth Setting Facility Modifier None Typical Low $2,398.83 Median $3,162.28 Typical High $4,466.84 | Facility | None | $2,398.83 | $3,162.28 | $4,466.84 |
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 $79.43 Median $125.89 Typical High $177.83 | Professional | None | $79.43 | $125.89 | $177.83 |
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 $60.26 Median $89.13 Typical High $128.82 | Professional | None | $60.26 | $89.13 | $128.82 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | None | $138.04 | $138.04 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | None | $72.44 | $104.71 | $177.83 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $4,265.80 | Facility | None | $2,089.30 | $3,090.30 | $4,265.80 |
Martin's Point Setting Facility Modifier None Typical Low $85.11 Median $1,584.89 Typical High $7,244.36 | Facility | None | $85.11 | $1,584.89 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $97.72 | Professional | None | $60.26 | $77.62 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $38.90 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $12.02 | $15.49 | $16.98 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $57.54 Typical High $64.57 | Professional | 54 · Surgery only | $45.71 | $57.54 | $64.57 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.75 Typical High $12.88 | Professional | 55 · Aftercare only | $9.12 | $11.75 | $12.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.03 | $7.76 | $8.51 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $190.55 | Professional | None | $91.20 | $102.33 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.84 Median $60.26 Typical High $100.00 | Facility | None | $28.84 | $60.26 | $100.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $100.00 | Professional | None | $60.26 | $75.86 | $100.00 |
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 $57.54 Median $79.43 Typical High $134.90 | Professional | None | $57.54 | $79.43 | $134.90 |
Where Pennsylvania sits
The same service costs 18.4 times more in Connecticut than in Kentucky. 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 $3,582KY $195
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.