How much rates vary
Facilitymedian $1,622 · 10th to 90th $537 to $5,370Professionalmedian $457 · 10th to 90th $324 to $661
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 $524.81 Median $2,951.21 Typical High $8,511.38 | Facility | None | $524.81 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $524.81 | Professional | None | $323.59 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $223.87 Typical High $263.03 | Professional | 52 · Reduced service | $162.18 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $64.57 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $331.13 Typical High $398.11 | Professional | 54 · Surgery only | $245.47 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $48.98 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $44.67 Typical High $52.48 | Professional | 56 · Pre-op care only | $32.36 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $309.03 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $229.09 | $309.03 | $371.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $8,709.64 | Facility | None | $3,981.07 | $7,413.10 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $407.38 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $389.05 | $407.38 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,412.54 Typical High $2,398.83 | Facility | None | $478.63 | $1,412.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $707.95 | Professional | None | $331.13 | $436.52 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Geisinger Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,162.28 | Facility | None | $1,445.44 | $1,778.28 | $3,162.28 |
Geisinger Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $851.14 | Professional | None | $416.87 | $588.84 | $851.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $7,244.36 Typical High $18,620.87 | Facility | None | $1,258.93 | $7,244.36 | $18,620.87 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $524.81 | Professional | None | $323.59 | $457.09 | $524.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $218.78 Typical High $263.03 | Professional | 52 · Reduced service | $162.18 | $218.78 | $263.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $87.10 Typical High $104.71 | Professional | 53 · Discontinued | $64.57 | $87.10 | $104.71 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $331.13 Typical High $398.11 | Professional | 54 · Surgery only | $245.47 | $331.13 | $398.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $66.07 Typical High $79.43 | Professional | 55 · Aftercare only | $48.98 | $66.07 | $79.43 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $43.65 Typical High $52.48 | Professional | 56 · Pre-op care only | $32.36 | $43.65 | $52.48 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $309.03 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $229.09 | $309.03 | $371.54 |
Oscar Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $954.99 | Professional | None | $512.86 | $512.86 | $954.99 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $1,071.52 Typical High $2,511.89 | Facility | None | $416.87 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $478.63 | Professional | None | $338.84 | $467.74 | $478.63 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,570.88 | Facility | None | $812.83 | $1,318.26 | $4,570.88 |
United Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $758.58 | Professional | None | $309.03 | $457.09 | $758.58 |
Where Pennsylvania sits
The same service costs 3.9 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 $4,927MT $1,254
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.