How much rates vary
Facilitymedian $1,349 · 10th to 90th $251 to $4,074Professionalmedian $174 · 10th to 90th $112 to $245
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 $134.90 Median $1,047.13 Typical High $6,165.95 | Facility | None | $134.90 | $1,047.13 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $234.42 | Professional | None | $112.20 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $56.23 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $35.48 Typical High $46.77 | Professional | 53 · Discontinued | $22.39 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $131.83 Typical High $173.78 | Professional | 54 · Surgery only | $85.11 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $26.92 Typical High $34.67 | Professional | 55 · Aftercare only | $16.98 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $17.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $11.22 | $17.38 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $123.03 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $79.43 | $123.03 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $251.19 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $165.96 | $251.19 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,380.38 Typical High $2,398.83 | Facility | None | $338.84 | $1,380.38 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $190.55 Typical High $269.15 | Professional | None | $109.65 | $190.55 | $269.15 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $467.74 | Professional | None | $257.04 | $354.81 | $467.74 |
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 $120.23 Median $213.80 Typical High $363.08 | Professional | None | $120.23 | $213.80 | $363.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $18,620.87 | Facility | None | $3,630.78 | $3,630.78 | $18,620.87 |
Martin's Point Setting Facility Modifier None Typical Low $186.21 Median $1,513.56 Typical High $6,165.95 | Facility | None | $186.21 | $1,513.56 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $234.42 | Professional | None | $112.20 | $199.53 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $89.13 Typical High $117.49 | Professional | 52 · Reduced service | $56.23 | $89.13 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $46.77 | Professional | 53 · Discontinued | $22.39 | $36.31 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $134.90 Typical High $173.78 | Professional | 54 · Surgery only | $85.11 | $134.90 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $26.92 Typical High $34.67 | Professional | 55 · Aftercare only | $16.98 | $26.92 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $17.78 Typical High $23.44 | Professional | 56 · Pre-op care only | $11.22 | $17.78 | $23.44 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $125.89 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $79.43 | $125.89 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $398.11 | Professional | None | $169.82 | $181.97 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $812.83 Typical High $1,862.09 | Facility | None | $138.04 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $208.93 | Professional | None | $120.23 | $173.78 | $208.93 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $4,265.80 | Facility | None | $416.87 | $724.44 | $4,265.80 |
United Setting Professional Modifier None Typical Low $100.00 Median $173.78 Typical High $251.19 | Professional | None | $100.00 | $173.78 | $251.19 |
Where Pennsylvania sits
The same service costs 9.8 times more in Colorado than in North Dakota. 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 $4,589ND $469
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.