How much rates vary
Facilitymedian $1,096 · 10th to 90th $490 to $6,310Professionalmedian $209 · 10th to 90th $182 to $407
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 $831.76 Median $5,495.41 Typical High $8,709.64 | Facility | None | $831.76 | $5,495.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $234.42 | Professional | None | $181.97 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $91.20 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $151.36 Typical High $154.88 | Professional | 54 · Surgery only | $134.90 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $30.20 Typical High $31.62 | Professional | 55 · Aftercare only | $26.92 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.95 Typical High $20.89 | Professional | 56 · Pre-op care only | $18.20 | $19.95 | $20.89 |
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 $208.93 Median $208.93 Typical High $346.74 | Professional | None | $208.93 | $208.93 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $1,737.80 | Facility | None | $501.19 | $870.96 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Professional | None | $194.98 | $288.40 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | None | $275.42 | $275.42 | $302.00 |
Geisinger Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,819.70 | Facility | None | $831.76 | $1,047.13 | $1,819.70 |
Geisinger Setting Professional Modifier None Typical Low $177.83 Median $288.40 Typical High $501.19 | Professional | None | $177.83 | $288.40 | $501.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Martin's Point Setting Facility Modifier None Typical Low $912.01 Median $5,248.07 Typical High $8,709.64 | Facility | None | $912.01 | $5,248.07 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $234.42 | Professional | None | $181.97 | $199.53 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $91.20 | $100.00 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $39.81 | $41.69 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $151.36 Typical High $154.88 | Professional | 54 · Surgery only | $134.90 | $151.36 | $154.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $30.20 Typical High $31.62 | Professional | 55 · Aftercare only | $26.92 | $30.20 | $31.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.95 Typical High $20.89 | Professional | 56 · Pre-op care only | $18.20 | $19.95 | $20.89 |
Oscar Health Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $645.65 | Professional | None | $229.09 | $338.84 | $645.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $199.53 Median $3,388.44 Typical High $6,606.93 | Facility | None | $199.53 | $3,388.44 | $6,606.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $263.03 | Professional | None | $199.53 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,467.37 | Facility | None | $416.87 | $724.44 | $3,467.37 |
United Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $416.87 | Professional | None | $199.53 | $245.47 | $416.87 |
Where Pennsylvania sits
The same service costs 7.6 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 $4,681MT $618
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.