How much rates vary
Facilitymedian $1,148 · 10th to 90th $437 to $5,129Professionalmedian $813 · 10th to 90th $148 to $1,413
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 $162.18 Median $1,348.96 Typical High $6,165.95 | Facility | None | $162.18 | $1,348.96 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $758.58 Typical High $1,023.29 | Professional | None | $147.91 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $102.33 Typical High $489.78 | Professional | 52 · Reduced service | $72.44 | $102.33 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $40.74 Typical High $194.98 | Professional | 53 · Discontinued | $29.51 | $40.74 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $151.36 Typical High $724.44 | Professional | 54 · Surgery only | $109.65 | $151.36 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $30.20 Typical High $144.54 | Professional | 55 · Aftercare only | $21.88 | $30.20 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $20.42 Typical High $97.72 | Professional | 56 · Pre-op care only | $14.79 | $20.42 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
AmeriHealth Setting Facility Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $6,606.93 | Facility | None | $1,380.38 | $1,698.24 | $6,606.93 |
AmeriHealth Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
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 $794.33 Median $812.83 Typical High $1,584.89 | Professional | None | $794.33 | $812.83 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,513.56 | Facility | None | $501.19 | $812.83 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $354.81 Typical High $1,380.38 | Professional | None | $147.91 | $354.81 | $1,380.38 |
Emblem Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,348.96 | $1,348.96 | $1,380.38 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,584.89 | Facility | None | $724.44 | $891.25 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $165.96 Median $977.24 Typical High $1,348.96 | Professional | None | $165.96 | $977.24 | $1,348.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,801.89 Typical High $7,244.36 | Facility | None | $2,290.87 | $3,801.89 | $7,244.36 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $6,918.31 | Facility | None | $1,288.25 | $1,737.80 | $6,918.31 |
Independence Blue Cross Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $1,412.54 Typical High $6,025.60 | Facility | None | $199.53 | $1,412.54 | $6,025.60 |
Martin's Point Setting Professional Modifier None Typical Low $147.91 Median $707.95 Typical High $1,047.13 | Professional | None | $147.91 | $707.95 | $1,047.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $102.33 Typical High $489.78 | Professional | 52 · Reduced service | $72.44 | $102.33 | $489.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $40.74 Typical High $194.98 | Professional | 53 · Discontinued | $29.51 | $40.74 | $194.98 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $151.36 Typical High $724.44 | Professional | 54 · Surgery only | $109.65 | $151.36 | $724.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $30.20 Typical High $144.54 | Professional | 55 · Aftercare only | $21.88 | $30.20 | $144.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $20.42 Typical High $97.72 | Professional | 56 · Pre-op care only | $14.79 | $20.42 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $3,467.37 | Professional | None | $954.99 | $1,000.00 | $3,467.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $147.91 Median $1,174.90 Typical High $2,290.87 | Facility | None | $147.91 | $1,174.90 | $2,290.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $147.91 Median $812.83 Typical High $1,000.00 | Professional | None | $147.91 | $812.83 | $1,000.00 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,630.78 | Facility | None | $416.87 | $724.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $141.25 Median $707.95 Typical High $1,548.82 | Professional | None | $141.25 | $707.95 | $1,548.82 |
Where Pennsylvania sits
The same service costs 4.8 times more in Colorado than in Maryland. 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 $5,124MD $1,065
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.