How much rates vary
Facilitymedian $1,096 · 10th to 90th $490 to $4,786Professionalmedian $398 · 10th to 90th $355 to $603
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 $354.81 Median $398.11 Typical High $407.38 | Professional | None | $354.81 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $177.83 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $39.81 |
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 $501.19 Median $645.65 Typical High $645.65 | Professional | None | $501.19 | $645.65 | $645.65 |
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 $363.08 Median $380.19 Typical High $758.58 | Professional | None | $363.08 | $380.19 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $707.95 | Professional | None | $398.11 | $524.81 | $707.95 |
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 $346.74 Median $407.38 Typical High $707.95 | Professional | None | $346.74 | $407.38 | $707.95 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,511.38 | Facility | None | $724.44 | $2,754.23 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | None | $354.81 | $398.11 | $398.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $177.83 | $194.98 | $199.53 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $79.43 | $79.43 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $269.15 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $60.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $39.81 |
Oscar Health Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $851.14 | Professional | None | $489.78 | $512.86 | $851.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $1,122.02 Typical High $2,238.72 | Facility | None | $371.54 | $1,122.02 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $562.34 | Professional | None | $371.54 | $380.19 | $562.34 |
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 $338.84 Median $389.05 Typical High $616.60 | Professional | None | $338.84 | $389.05 | $616.60 |
Where Pennsylvania sits
The same service costs 3.8 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 $4,403DE $1,156
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.