How much rates vary
Facilitymedian $851 · 10th to 90th $479 to $3,981Professionalmedian $537 · 10th to 90th $178 to $977
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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $616.60 | Professional | None | $169.82 | $269.15 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $309.03 | Professional | 52 · Reduced service | $85.11 | $134.90 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $123.03 | Professional | 53 · Discontinued | $33.88 | $53.70 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $199.53 Typical High $467.74 | Professional | 54 · Surgery only | $125.89 | $199.53 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $40.74 Typical High $93.33 | Professional | 55 · Aftercare only | $25.12 | $40.74 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $26.92 Typical High $61.66 | Professional | 56 · Pre-op care only | $16.98 | $26.92 | $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 $524.81 Median $831.76 Typical High $1,148.15 | Professional | None | $524.81 | $831.76 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,412.54 | Facility | None | $501.19 | $776.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $489.78 Typical High $891.25 | Professional | None | $173.78 | $489.78 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,258.93 | Professional | None | $741.31 | $1,023.29 | $1,258.93 |
Geisinger Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,412.54 | Facility | None | $630.96 | $794.33 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $630.96 Typical High $1,000.00 | Professional | None | $213.80 | $630.96 | $1,000.00 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $7,244.36 | Facility | None | $588.84 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $616.60 | Professional | None | $169.82 | $275.42 | $616.60 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $309.03 | Professional | 52 · Reduced service | $85.11 | $134.90 | $309.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $123.03 | Professional | 53 · Discontinued | $33.88 | $53.70 | $123.03 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $199.53 Typical High $467.74 | Professional | 54 · Surgery only | $125.89 | $199.53 | $467.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $40.74 Typical High $93.33 | Professional | 55 · Aftercare only | $25.12 | $40.74 | $93.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $26.92 Typical High $61.66 | Professional | 56 · Pre-op care only | $16.98 | $26.92 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $2,290.87 | Professional | None | $616.60 | $1,096.48 | $2,290.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $177.83 Median $213.80 Typical High $645.65 | Facility | None | $177.83 | $213.80 | $645.65 |
UPMC Health Plan Setting Professional Modifier None Typical Low $177.83 Median $524.81 Typical High $645.65 | Professional | None | $177.83 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,818.38 | Facility | None | $416.87 | $724.44 | $2,818.38 |
United Setting Professional Modifier None Typical Low $158.49 Median $426.58 Typical High $758.58 | Professional | None | $158.49 | $426.58 | $758.58 |
Where Pennsylvania sits
The same service costs 4.8 times more in Colorado than in Maryland. 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 $4,327MD $911
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.