How much rates vary
Facilitymedian $1,230 · 10th to 90th $437 to $6,457Professionalmedian $550 · 10th to 90th $186 to $912
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 $588.84 Median $4,570.88 Typical High $8,511.38 | Facility | None | $588.84 | $4,570.88 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $602.56 Typical High $758.58 | Professional | None | $194.98 | $602.56 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $125.89 Typical High $371.54 | Professional | 52 · Reduced service | $95.50 | $125.89 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $51.29 Typical High $151.36 | Professional | 53 · Discontinued | $38.90 | $51.29 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $190.55 Typical High $562.34 | Professional | 54 · Surgery only | $144.54 | $190.55 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $38.02 Typical High $112.20 | Professional | 55 · Aftercare only | $28.84 | $38.02 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $25.70 Typical High $75.86 | Professional | 56 · Pre-op care only | $19.50 | $25.70 | $75.86 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $56,234.13 | Professional | None | $281.84 | $281.84 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $870.96 | Facility | None | $354.81 | $512.86 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $1,023.29 | Professional | None | $173.78 | $407.38 | $1,023.29 |
Emblem Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | None | $954.99 | $954.99 | $1,000.00 |
Geisinger Setting Facility Modifier None Typical Low $436.52 Median $549.54 Typical High $954.99 | Facility | None | $436.52 | $549.54 | $954.99 |
Geisinger Setting Professional Modifier None Typical Low $245.47 Median $776.25 Typical High $1,258.93 | Professional | None | $245.47 | $776.25 | $1,258.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $8,912.51 Typical High $11,748.98 | Facility | None | $3,548.13 | $8,912.51 | $11,748.98 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $3,981.07 Typical High $8,511.38 | Facility | None | $588.84 | $3,981.07 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $194.98 Median $602.56 Typical High $758.58 | Professional | None | $194.98 | $602.56 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $125.89 Typical High $371.54 | Professional | 52 · Reduced service | $95.50 | $125.89 | $371.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $51.29 Typical High $151.36 | Professional | 53 · Discontinued | $38.90 | $51.29 | $151.36 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $190.55 Typical High $562.34 | Professional | 54 · Surgery only | $144.54 | $190.55 | $562.34 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $38.02 Typical High $112.20 | Professional | 55 · Aftercare only | $28.84 | $38.02 | $112.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $25.70 Typical High $75.86 | Professional | 56 · Pre-op care only | $19.50 | $25.70 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,071.52 | $1,318.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $831.76 Typical High $1,949.84 | Facility | None | $173.78 | $831.76 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $562.34 Typical High $831.76 | Professional | None | $173.78 | $562.34 | $831.76 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $5,623.41 | Facility | None | $1,148.15 | $1,905.46 | $5,623.41 |
United Setting Professional Modifier None Typical Low $181.97 Median $524.81 Typical High $1,096.48 | Professional | None | $181.97 | $524.81 | $1,096.48 |
Where Pennsylvania sits
The same service costs 6.9 times more in Colorado than in Montana. 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 $7,377MT $1,063
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.