How much rates vary
Facilitymedian $813 · 10th to 90th $85 to $5,012Professionalmedian $813 · 10th to 90th $347 to $2,570
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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $831.76 Typical High $2,187.76 | Professional | None | $346.74 | $831.76 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $223.87 Typical High $1,096.48 | Professional | 52 · Reduced service | $169.82 | $223.87 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $89.13 Typical High $436.52 | Professional | 53 · Discontinued | $69.18 | $89.13 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $331.13 Typical High $1,659.59 | Professional | 54 · Surgery only | $257.04 | $331.13 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $66.07 Typical High $331.13 | Professional | 55 · Aftercare only | $51.29 | $66.07 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $44.67 Typical High $218.78 | Professional | 56 · Pre-op care only | $34.67 | $44.67 | $218.78 |
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 $512.86 Median $512.86 Typical High $56,234.13 | Professional | None | $512.86 | $512.86 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,691.53 | Facility | None | $457.09 | $794.33 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $3,162.28 | Professional | None | $309.03 | $645.65 | $3,162.28 |
Emblem Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,691.53 | $2,691.53 | $2,818.38 |
Geisinger Setting Professional Modifier None Typical Low $407.38 Median $1,698.24 Typical High $2,691.53 | Professional | None | $407.38 | $1,698.24 | $2,691.53 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $7,244.36 | Facility | None | $588.84 | $2,187.76 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $346.74 Median $831.76 Typical High $2,187.76 | Professional | None | $346.74 | $831.76 | $2,187.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $218.78 Typical High $1,096.48 | Professional | 52 · Reduced service | $169.82 | $218.78 | $1,096.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $87.10 Typical High $436.52 | Professional | 53 · Discontinued | $69.18 | $87.10 | $436.52 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $331.13 Typical High $1,659.59 | Professional | 54 · Surgery only | $257.04 | $331.13 | $1,659.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $66.07 Typical High $331.13 | Professional | 55 · Aftercare only | $51.29 | $66.07 | $331.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $43.65 Typical High $218.78 | Professional | 56 · Pre-op care only | $34.67 | $43.65 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $870.96 | Professional | None | $478.63 | $478.63 | $870.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $2,344.23 | Facility | None | $812.83 | $1,513.56 | $2,344.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $316.23 Median $1,230.27 Typical High $1,659.59 | Professional | None | $316.23 | $1,230.27 | $1,659.59 |
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 $323.59 Median $691.83 Typical High $3,162.28 | Professional | None | $323.59 | $691.83 | $3,162.28 |
Where Pennsylvania sits
The same service costs 13.0 times more in Michigan 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
MI $7,905DE $608
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.