How much rates vary
Facilitymedian $676 · 10th to 90th $316 to $6,761Professionalmedian $617 · 10th to 90th $490 to $1,047
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 $616.60 Median $4,897.79 Typical High $8,709.64 | Facility | None | $616.60 | $4,897.79 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $707.95 | Professional | None | $512.86 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $416.87 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $61.66 |
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 $776.25 Median $776.25 Typical High $812.83 | Professional | None | $776.25 | $776.25 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,089.30 | Facility | None | $446.68 | $645.65 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $1,071.52 | Professional | None | $467.74 | $588.84 | $1,071.52 |
Emblem Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | None | $741.31 | $741.31 | $831.76 |
Geisinger Setting Professional Modifier None Typical Low $346.74 Median $691.83 Typical High $1,122.02 | Professional | None | $346.74 | $691.83 | $1,122.02 |
Martin's Point Setting Facility Modifier None Typical Low $616.60 Median $4,897.79 Typical High $9,332.54 | Facility | None | $616.60 | $4,897.79 | $9,332.54 |
Martin's Point Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $707.95 | Professional | None | $524.81 | $616.60 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $281.84 | $309.03 | $309.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $123.03 | $123.03 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $416.87 | $467.74 | $467.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $446.68 Typical High $1,047.13 | Professional | None | $19.95 | $446.68 | $1,047.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Facility | None | $501.19 | $524.81 | $524.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Professional | None | $501.19 | $524.81 | $524.81 |
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 $489.78 Median $630.96 Typical High $1,071.52 | Professional | None | $489.78 | $630.96 | $1,071.52 |
Where Pennsylvania sits
The same service costs 27.8 times more in Alabama 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
AL $32,331MD $1,165
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.