How much rates vary
Facilitymedian $912 · 10th to 90th $355 to $4,266Professionalmedian $309 · 10th to 90th $234 to $537
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 $295.12 Median $758.58 Typical High $6,165.95 | Facility | None | $295.12 | $758.58 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $338.84 | Professional | None | $234.42 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $204.17 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $165.96 | $204.17 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $354.81 | Professional | None | $218.78 | $323.59 | $354.81 |
AmeriHealth Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $13,182.57 | Facility | None | $2,454.71 | $3,162.28 | $13,182.57 |
AmeriHealth Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
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 $309.03 Median $457.09 Typical High $562.34 | Professional | None | $309.03 | $457.09 | $562.34 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $691.83 Typical High $831.76 | Professional | 50 · Both sides | $457.09 | $691.83 | $831.76 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $371.54 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $245.47 | $371.54 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $1,258.93 | Facility | None | $371.54 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $457.09 | Professional | None | $190.55 | $251.19 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $707.95 | Professional | None | $407.38 | $562.34 | $707.95 |
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 $208.93 Median $331.13 Typical High $549.54 | Professional | None | $208.93 | $331.13 | $549.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $2,630.27 Typical High $4,265.80 | Facility | None | $616.60 | $2,630.27 | $4,265.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $323.59 | Professional | None | $275.42 | $288.40 | $323.59 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $12,882.50 | Facility | None | $2,137.96 | $3,162.28 | $12,882.50 |
Independence Blue Cross Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $1,000.00 Typical High $6,165.95 | Facility | None | $316.23 | $1,000.00 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $338.84 | Professional | None | $234.42 | $295.12 | $338.84 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $204.17 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $165.96 | $204.17 | $239.88 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $588.84 | Professional | None | $275.42 | $288.40 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $1,659.59 Typical High $4,570.88 | Facility | None | $204.17 | $1,659.59 | $4,570.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $309.03 | Professional | None | $204.17 | $239.88 | $309.03 |
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 $213.80 Median $263.03 Typical High $416.87 | Professional | None | $213.80 | $263.03 | $416.87 |
Where Pennsylvania sits
The same service costs 5.6 times more in Colorado than in North Dakota. 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 $4,745ND $852
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.