How much rates vary
Facilitymedian $912 · 10th to 90th $479 to $3,981Professionalmedian $2,089 · 10th to 90th $158 to $4,898
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 $2,454.71 Typical High $7,943.28 | Facility | None | $537.03 | $2,454.71 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $2,630.27 | Professional | None | $147.91 | $338.84 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $162.18 Typical High $1,318.26 | Professional | 52 · Reduced service | $74.13 | $162.18 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $64.57 Typical High $524.81 | Professional | 53 · Discontinued | $29.51 | $64.57 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $239.88 Typical High $1,995.26 | Professional | 54 · Surgery only | $112.20 | $239.88 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $47.86 Typical High $398.11 | Professional | 55 · Aftercare only | $22.39 | $47.86 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $32.36 Typical High $263.03 | Professional | 56 · Pre-op care only | $14.79 | $32.36 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $2,041.74 Median $3,630.78 Typical High $5,754.40 | Professional | None | $2,041.74 | $3,630.78 | $5,754.40 |
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 $151.36 Median $371.54 Typical High $3,090.30 | Professional | None | $151.36 | $371.54 | $3,090.30 |
Emblem Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $5,370.32 | Professional | None | $3,019.95 | $4,168.69 | $5,370.32 |
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 $190.55 Median $3,090.30 Typical High $4,265.80 | Professional | None | $190.55 | $3,090.30 | $4,265.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,019.95 | Facility | None | $1,412.54 | $1,412.54 | $3,019.95 |
Highmark BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,398.83 Typical High $7,244.36 | Facility | None | $537.03 | $2,398.83 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $2,630.27 | Professional | None | $147.91 | $338.84 | $2,630.27 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $162.18 Typical High $1,318.26 | Professional | 52 · Reduced service | $74.13 | $162.18 | $1,318.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $64.57 Typical High $524.81 | Professional | 53 · Discontinued | $29.51 | $64.57 | $524.81 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $239.88 Typical High $1,995.26 | Professional | 54 · Surgery only | $112.20 | $239.88 | $1,995.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $47.86 Typical High $398.11 | Professional | 55 · Aftercare only | $22.39 | $47.86 | $398.11 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $32.36 Typical High $263.03 | Professional | 56 · Pre-op care only | $14.79 | $32.36 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $2,754.23 | Professional | None | $269.15 | $269.15 | $2,754.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $3,235.94 | Facility | None | $154.88 | $186.21 | $3,235.94 |
UPMC Health Plan Setting Professional Modifier None Typical Low $154.88 Median $2,137.96 Typical High $3,235.94 | Professional | None | $154.88 | $2,137.96 | $3,235.94 |
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 $141.25 Median $302.00 Typical High $3,467.37 | Professional | None | $141.25 | $302.00 | $3,467.37 |
Where Pennsylvania sits
The same service costs 6.4 times more in New York 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
NY $5,617MD $880
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.