How much rates vary
Facilitymedian $1,023 · 10th to 90th $479 to $4,677Professionalmedian $182 · 10th to 90th $162 to $331
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 $645.65 Median $3,090.30 Typical High $8,511.38 | Facility | None | $645.65 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $190.55 | Professional | None | $169.82 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $89.13 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $134.90 Typical High $138.04 | Professional | 54 · Surgery only | $125.89 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $26.92 Typical High $27.54 | Professional | 55 · Aftercare only | $25.12 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $16.98 | $18.20 | $18.20 |
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 $263.03 Median $263.03 Typical High $56,234.13 | Professional | None | $263.03 | $263.03 | $56,234.13 |
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 $162.18 Median $186.21 Typical High $346.74 | Professional | None | $162.18 | $186.21 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | None | $239.88 | $239.88 | $251.19 |
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 $158.49 Median $213.80 Typical High $354.81 | Professional | None | $158.49 | $213.80 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,317.64 | Facility | None | $724.44 | $2,754.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | None | $169.82 | $181.97 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $89.13 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $89.13 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $134.90 Typical High $138.04 | Professional | 54 · Surgery only | $125.89 | $134.90 | $138.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $26.92 Typical High $27.54 | Professional | 55 · Aftercare only | $25.12 | $26.92 | $27.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $16.98 | $18.20 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $363.08 | Professional | None | $186.21 | $245.47 | $363.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $204.17 | Facility | None | $162.18 | $204.17 | $204.17 |
UPMC Health Plan Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | None | $162.18 | $204.17 | $204.17 |
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 $151.36 Median $190.55 Typical High $354.81 | Professional | None | $151.36 | $190.55 | $354.81 |
Where Pennsylvania sits
The same service costs 9.2 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 $4,822MT $526
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.