How much rates vary
Facilitymedian $339 · 10th to 90th $100 to $3,090Professionalmedian $120 · 10th to 90th $98 to $214
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 $131.83 Median $2,137.96 Typical High $8,317.64 | Facility | None | $131.83 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $131.83 | Professional | None | $97.72 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $87.10 Typical High $97.72 | Professional | 54 · Surgery only | $72.44 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $19.50 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $11.75 Typical High $13.18 | Professional | 56 · Pre-op care only | $9.77 | $11.75 | $13.18 |
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 $177.83 Median $218.78 Typical High $281.84 | Professional | None | $177.83 | $218.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $562.34 | Facility | None | $147.91 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $190.55 | Professional | None | $97.72 | $114.82 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $269.15 | Professional | None | $144.54 | $194.98 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $295.12 | Facility | None | $134.90 | $165.96 | $295.12 |
Geisinger Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $223.87 | Professional | None | $109.65 | $131.83 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $131.83 | Professional | None | $97.72 | $117.49 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $57.54 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $23.44 | $26.30 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $87.10 Typical High $97.72 | Professional | 54 · Surgery only | $72.44 | $87.10 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $19.50 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $11.75 Typical High $13.18 | Professional | 56 · Pre-op care only | $9.77 | $11.75 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $251.19 | Professional | None | $131.83 | $138.04 | $251.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $1,071.52 Typical High $2,511.89 | Facility | None | $112.20 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $128.82 | Professional | None | $102.33 | $120.23 | $128.82 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $177.83 | Professional | None | $91.20 | $117.49 | $177.83 |
Where Pennsylvania sits
The same service costs 9.5 times more in New York 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
NY $2,740DE $289
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.