How much rates vary
Facilitymedian $631 · 10th to 90th $87 to $4,898Professionalmedian $562 · 10th to 90th $138 to $1,096
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 $478.63 Median $2,137.96 Typical High $7,943.28 | Facility | None | $478.63 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $616.60 Typical High $812.83 | Professional | None | $138.04 | $616.60 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $104.71 Typical High $371.54 | Professional | 52 · Reduced service | $77.62 | $104.71 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $41.69 Typical High $147.91 | Professional | 53 · Discontinued | $30.90 | $41.69 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $158.49 Typical High $562.34 | Professional | 54 · Surgery only | $117.49 | $158.49 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $31.62 Typical High $112.20 | Professional | 55 · Aftercare only | $23.44 | $31.62 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $20.89 Typical High $74.13 | Professional | 56 · Pre-op care only | $15.49 | $20.89 | $74.13 |
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 $537.03 Median $1,023.29 Typical High $1,380.38 | Professional | None | $537.03 | $1,023.29 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $2,290.87 | Facility | None | $457.09 | $630.96 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $331.13 Typical High $1,071.52 | Professional | None | $138.04 | $331.13 | $1,071.52 |
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $199.53 Median $758.58 Typical High $1,230.27 | Professional | None | $199.53 | $758.58 | $1,230.27 |
Highmark BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $2,041.74 | Facility | None | $630.96 | $630.96 | $2,041.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $1,995.26 Typical High $7,244.36 | Facility | None | $537.03 | $1,995.26 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $138.04 Median $616.60 Typical High $812.83 | Professional | None | $138.04 | $616.60 | $812.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $104.71 Typical High $371.54 | Professional | 52 · Reduced service | $77.62 | $104.71 | $371.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $41.69 Typical High $147.91 | Professional | 53 · Discontinued | $30.90 | $41.69 | $147.91 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $158.49 Typical High $562.34 | Professional | 54 · Surgery only | $117.49 | $158.49 | $562.34 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $31.62 Typical High $112.20 | Professional | 55 · Aftercare only | $23.44 | $31.62 | $112.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $20.89 Typical High $74.13 | Professional | 56 · Pre-op care only | $15.49 | $20.89 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $812.83 Typical High $851.14 | Professional | None | $134.90 | $812.83 | $851.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $977.24 Typical High $1,905.46 | Facility | None | $141.25 | $977.24 | $1,905.46 |
UPMC Health Plan Setting Professional Modifier None Typical Low $141.25 Median $562.34 Typical High $758.58 | Professional | None | $141.25 | $562.34 | $758.58 |
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 $141.25 Median $524.81 Typical High $1,174.90 | Professional | None | $141.25 | $524.81 | $1,174.90 |
Where Pennsylvania sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.