How much rates vary
Facilitymedian $1,072 · 10th to 90th $468 to $4,266Professionalmedian $537 · 10th to 90th $158 to $794
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 $602.56 Median $2,818.38 Typical High $8,511.38 | Facility | None | $602.56 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $398.11 Typical High $660.69 | Professional | None | $151.36 | $398.11 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $112.20 Typical High $331.13 | Professional | 52 · Reduced service | $75.86 | $112.20 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $44.67 Typical High $134.90 | Professional | 53 · Discontinued | $30.20 | $44.67 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $169.82 Typical High $501.19 | Professional | 54 · Surgery only | $114.82 | $169.82 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $33.88 Typical High $100.00 | Professional | 55 · Aftercare only | $22.91 | $33.88 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $22.39 Typical High $66.07 | Professional | 56 · Pre-op care only | $15.14 | $22.39 | $66.07 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,318.26 | Professional | None | $575.44 | $575.44 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $1,737.80 | Facility | None | $478.63 | $891.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $812.83 | Professional | None | $158.49 | $234.42 | $812.83 |
Emblem Health Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,348.96 | Professional | None | $794.33 | $1,096.48 | $1,348.96 |
Geisinger Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,905.46 | Facility | None | $870.96 | $1,096.48 | $1,905.46 |
Geisinger Setting Professional Modifier None Typical Low $199.53 Median $616.60 Typical High $1,023.29 | Professional | None | $199.53 | $616.60 | $1,023.29 |
Martin's Point Setting Facility Modifier None Typical Low $660.69 Median $2,630.27 Typical High $8,317.64 | Facility | None | $660.69 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $398.11 Typical High $660.69 | Professional | None | $151.36 | $398.11 | $660.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $114.82 Typical High $331.13 | Professional | 52 · Reduced service | $75.86 | $114.82 | $331.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $45.71 Typical High $134.90 | Professional | 53 · Discontinued | $30.20 | $45.71 | $134.90 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $169.82 Typical High $501.19 | Professional | 54 · Surgery only | $114.82 | $169.82 | $501.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $33.88 Typical High $100.00 | Professional | 55 · Aftercare only | $22.91 | $33.88 | $100.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $22.91 Typical High $66.07 | Professional | 56 · Pre-op care only | $15.14 | $22.91 | $66.07 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $724.44 | Professional | None | $269.15 | $281.84 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $1,071.52 Typical High $2,511.89 | Facility | None | $194.98 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $575.44 | Professional | None | $158.49 | $269.15 | $575.44 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $794.33 | Professional | None | $144.54 | $269.15 | $794.33 |
Where Pennsylvania sits
The same service costs 4.3 times more in Colorado than in Delaware. 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 $4,191DE $985
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.