How much rates vary
Facilitymedian $794 · 10th to 90th $302 to $8,710Professionalmedian $1,445 · 10th to 90th $1,148 to $2,344
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 $1,023.29 Median $6,606.93 Typical High $14,454.40 | Facility | None | $1,023.29 | $6,606.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $691.83 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,047.13 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $138.04 | $154.88 | $154.88 |
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 $2,041.74 Median $2,041.74 Typical High $56,234.13 | Professional | None | $2,041.74 | $2,041.74 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,290.87 | Facility | None | $380.19 | $660.69 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,570.40 | Professional | None | $1,096.48 | $1,445.44 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,819.70 | $1,819.70 | $2,089.30 |
Geisinger Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,737.80 | $2,818.38 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,754.40 Typical High $14,791.08 | Facility | None | $1,023.29 | $5,754.40 | $14,791.08 |
Martin's Point Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,548.82 | $1,548.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $691.83 | $776.25 | $776.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $275.42 | $309.03 | $309.03 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,047.13 | $1,148.15 | $1,148.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $208.93 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $138.04 | $154.88 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $1,380.38 Typical High $2,344.23 | Professional | None | $19.95 | $1,380.38 | $2,344.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,202.26 | $1,258.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,202.26 | $1,202.26 | $1,258.93 |
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 $1,202.26 Median $1,479.11 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,479.11 | $2,691.53 |
Where Pennsylvania sits
The same service costs 9.4 times more in Alabama than in Delaware. 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 $19,561DE $2,073
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.