How much rates vary
Facilitymedian $8,318 · 10th to 90th $631 to $21,380Professionalmedian $5,012 · 10th to 90th $537 to $10,000
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 $645.65 Median $6,165.95 Typical High $10,000.00 | Facility | None | $645.65 | $6,165.95 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,513.56 Typical High $7,413.10 | Professional | None | $537.03 | $1,513.56 | $7,413.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $363.08 Typical High $3,467.37 | Professional | 52 · Reduced service | $269.15 | $363.08 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $144.54 Typical High $1,412.54 | Professional | 53 · Discontinued | $109.65 | $144.54 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $537.03 Typical High $5,248.07 | Professional | 54 · Surgery only | $407.38 | $537.03 | $5,248.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $109.65 Typical High $1,047.13 | Professional | 55 · Aftercare only | $81.28 | $109.65 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $72.44 Typical High $707.95 | Professional | 56 · Pre-op care only | $53.70 | $72.44 | $707.95 |
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 $4,897.79 Median $9,332.54 Typical High $12,882.50 | Professional | None | $4,897.79 | $9,332.54 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $11,748.98 Typical High $22,387.21 | Facility | None | $501.19 | $11,748.98 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $1,096.48 Typical High $9,549.93 | Professional | None | $478.63 | $1,096.48 | $9,549.93 |
Emblem Health Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,232.93 | Professional | None | $10,000.00 | $10,000.00 | $10,232.93 |
Geisinger Setting Facility Modifier None Typical Low $12,022.64 Median $15,135.61 Typical High $26,302.68 | Facility | None | $12,022.64 | $15,135.61 | $26,302.68 |
Geisinger Setting Professional Modifier None Typical Low $691.83 Median $7,585.78 Typical High $11,748.98 | Professional | None | $691.83 | $7,585.78 | $11,748.98 |
Martin's Point Setting Facility Modifier None Typical Low $676.08 Median $5,754.40 Typical High $10,471.29 | Facility | None | $676.08 | $5,754.40 | $10,471.29 |
Martin's Point Setting Professional Modifier None Typical Low $537.03 Median $1,513.56 Typical High $7,413.10 | Professional | None | $537.03 | $1,513.56 | $7,413.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $363.08 Typical High $3,467.37 | Professional | 52 · Reduced service | $269.15 | $363.08 | $3,467.37 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $144.54 Typical High $1,412.54 | Professional | 53 · Discontinued | $109.65 | $144.54 | $1,412.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $537.03 Typical High $5,248.07 | Professional | 54 · Surgery only | $407.38 | $537.03 | $5,248.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $109.65 Typical High $1,047.13 | Professional | 55 · Aftercare only | $81.28 | $109.65 | $1,047.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $72.44 Typical High $707.95 | Professional | 56 · Pre-op care only | $53.70 | $72.44 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $537.03 Median $7,762.47 Typical High $8,128.31 | Professional | None | $537.03 | $7,762.47 | $8,128.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $7,079.46 | Facility | None | $489.78 | $562.34 | $7,079.46 |
UPMC Health Plan Setting Professional Modifier None Typical Low $489.78 Median $5,128.61 Typical High $7,079.46 | Professional | None | $489.78 | $5,128.61 | $7,079.46 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $8,709.64 Typical High $24,547.09 | Facility | None | $3,890.45 | $8,709.64 | $24,547.09 |
United Setting Professional Modifier None Typical Low $512.86 Median $4,786.30 Typical High $11,220.18 | Professional | None | $512.86 | $4,786.30 | $11,220.18 |
Where Pennsylvania sits
The same service costs 6.1 times more in Alaska than in Vermont. 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
AK $33,081VT $5,424
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.