How much rates vary
Facilitymedian $1,096 · 10th to 90th $479 to $4,677Professionalmedian $186 · 10th to 90th $170 to $269
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 $645.65 Median $3,090.30 Typical High $8,511.38 | Facility | None | $645.65 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $190.55 | Professional | None | $169.82 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $16.98 | $18.62 | $18.62 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
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 $173.78 Median $177.83 Typical High $371.54 | Professional | None | $173.78 | $177.83 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $346.74 | Professional | None | $190.55 | $257.04 | $346.74 |
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 $165.96 Median $194.98 Typical High $338.84 | Professional | None | $165.96 | $194.98 | $338.84 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,317.64 | Facility | None | $724.44 | $2,754.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | None | $169.82 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $83.18 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $33.88 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $138.04 Typical High $141.25 | Professional | 54 · Surgery only | $125.89 | $138.04 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $25.12 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $16.98 | $18.62 | $18.62 |
Oscar Health Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $407.38 | Professional | None | $257.04 | $269.15 | $407.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $1,513.56 Typical High $2,951.21 | Facility | None | $173.78 | $1,513.56 | $2,951.21 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $199.53 | Professional | None | $173.78 | $177.83 | $199.53 |
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 $158.49 Median $186.21 Typical High $288.40 | Professional | None | $158.49 | $186.21 | $288.40 |
Where Pennsylvania sits
The same service costs 7.3 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 $4,136MT $564
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.