How much rates vary
Facilitymedian $537 · 10th to 90th $78 to $3,981Professionalmedian $117 · 10th to 90th $65 to $214
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 $74.13 Median $812.83 Typical High $6,165.95 | Facility | None | $74.13 | $812.83 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $165.96 | Professional | None | $64.57 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $44.67 Typical High $66.07 | Professional | 52 · Reduced service | $32.36 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $12.88 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $67.61 Typical High $97.72 | Professional | 54 · Surgery only | $47.86 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $16.98 Typical High $19.50 | Professional | 55 · Aftercare only | $9.55 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $11.22 Typical High $13.18 | Professional | 56 · Pre-op care only | $6.46 | $11.22 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
AmeriHealth Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $4,168.69 | Facility | None | $575.44 | $707.95 | $4,168.69 |
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 $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $275.42 | Professional | None | $117.49 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $1,174.90 | Facility | None | $446.68 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $204.17 | Professional | None | $67.61 | $114.82 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | None | $213.80 | $213.80 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $213.80 | Professional | None | $75.86 | $131.83 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $2,570.40 | Facility | None | $151.36 | $1,380.38 | $2,570.40 |
Independence Blue Cross Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $4,168.69 | Facility | None | $537.03 | $707.95 | $4,168.69 |
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 $91.20 Median $1,047.13 Typical High $6,165.95 | Facility | None | $91.20 | $1,047.13 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $169.82 | Professional | None | $64.57 | $117.49 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $44.67 Typical High $66.07 | Professional | 52 · Reduced service | $32.36 | $44.67 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $12.88 | $22.39 | $26.30 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $67.61 Typical High $97.72 | Professional | 54 · Surgery only | $47.86 | $67.61 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $16.98 Typical High $19.50 | Professional | 55 · Aftercare only | $9.55 | $16.98 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $11.22 Typical High $13.18 | Professional | 56 · Pre-op care only | $6.46 | $11.22 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $208.93 | Professional | None | $141.25 | $158.49 | $208.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $229.09 Typical High $446.68 | Facility | None | $64.57 | $229.09 | $446.68 |
UPMC Health Plan Setting Professional Modifier None Typical Low $64.57 Median $114.82 Typical High $117.49 | Professional | None | $64.57 | $114.82 | $117.49 |
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 $61.66 Median $112.20 Typical High $204.17 | Professional | None | $61.66 | $112.20 | $204.17 |
Where Pennsylvania sits
The same service costs 22.5 times more in Alabama 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
AL $5,010KY $223
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.