How much rates vary
Facilitymedian $676 · 10th to 90th $209 to $6,166Professionalmedian $234 · 10th to 90th $191 to $417
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 $208.93 Median $4,897.79 Typical High $8,511.38 | Facility | None | $208.93 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $288.40 | Professional | None | $190.55 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $95.50 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $38.02 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $158.49 Typical High $165.96 | Professional | 54 · Surgery only | $141.25 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | 56 · Pre-op care only | $19.05 | $20.89 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,089.30 | Facility | None | $446.68 | $645.65 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $457.09 | Professional | None | $204.17 | $257.04 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | None | $302.00 | $302.00 | $346.74 |
Geisinger Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $457.09 | Professional | None | $199.53 | $288.40 | $457.09 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $288.40 | Professional | None | $190.55 | $208.93 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $95.50 | $104.71 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $38.02 | $41.69 | $42.66 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $158.49 Typical High $162.18 | Professional | 54 · Surgery only | $141.25 | $158.49 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $32.36 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.89 Typical High $21.38 | Professional | 56 · Pre-op care only | $19.05 | $20.89 | $21.38 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $537.03 | Professional | None | $234.42 | $316.23 | $537.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $257.04 | Facility | None | $204.17 | $257.04 | $257.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | None | $204.17 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $436.52 | Professional | None | $208.93 | $251.19 | $436.52 |
Where Pennsylvania sits
The same service costs 40.6 times more in Maine 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
ME $27,217MT $670
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.