How much rates vary
Facilitymedian $891 · 10th to 90th $240 to $7,244Professionalmedian $3,548 · 10th to 90th $2,884 to $5,495
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 $831.76 Median $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $3,715.35 | Professional | None | $3,388.44 | $3,630.78 | $3,715.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,819.70 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,698.24 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $724.44 Typical High $741.31 | Professional | 53 · Discontinued | $676.08 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,754.23 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,511.89 | $2,754.23 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $549.54 Typical High $562.34 | Professional | 55 · Aftercare only | $512.86 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $363.08 Typical High $371.54 | Professional | 56 · Pre-op care only | $338.84 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,570.40 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,570.40 | $2,630.27 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $56,234.13 | Professional | None | $5,495.41 | $5,495.41 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $4,265.80 Typical High $5,495.41 | Professional | 78 · Unplanned return to OR | $2,630.27 | $4,265.80 | $5,495.41 |
Emblem Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,888.44 | Professional | None | $5,248.07 | $5,248.07 | $5,888.44 |
Geisinger Setting Professional Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $7,244.36 | Professional | None | $2,951.21 | $4,265.80 | $7,244.36 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $3,715.35 | Professional | None | $3,388.44 | $3,630.78 | $3,715.35 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,698.24 Median $1,819.70 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,698.24 | $1,819.70 | $1,862.09 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $724.44 Typical High $741.31 | Professional | 53 · Discontinued | $676.08 | $724.44 | $741.31 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,754.23 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,511.89 | $2,754.23 | $2,818.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $549.54 Typical High $562.34 | Professional | 55 · Aftercare only | $512.86 | $549.54 | $562.34 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $363.08 Typical High $371.54 | Professional | 56 · Pre-op care only | $338.84 | $363.08 | $371.54 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,570.40 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,570.40 | $2,630.27 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $3,467.37 Typical High $5,888.44 | Professional | None | $19.95 | $3,467.37 | $5,888.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Facility | None | $2,884.03 | $2,884.03 | $3,388.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,884.03 | $2,884.03 | $3,388.44 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $7,244.36 | Professional | None | $3,019.95 | $3,630.78 | $7,244.36 |
Where Pennsylvania sits
The same service costs 7.4 times more in Colorado than in Texas. 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 $23,749TX $3,193
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.