How much rates vary
Facilitymedian $661 · 10th to 90th $263 to $3,981Professionalmedian $263 · 10th to 90th $69 to $427
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 $263.03 Median $1,995.26 Typical High $7,244.36 | Facility | None | $263.03 | $1,995.26 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $194.98 Typical High $316.23 | Professional | None | $69.18 | $194.98 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $79.43 Typical High $158.49 | Professional | 52 · Reduced service | $34.67 | $79.43 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $31.62 Typical High $63.10 | Professional | 53 · Discontinued | $14.13 | $31.62 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $120.23 Typical High $234.42 | Professional | 54 · Surgery only | $52.48 | $120.23 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $23.99 Typical High $46.77 | Professional | 55 · Aftercare only | $10.47 | $23.99 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $15.85 Typical High $31.62 | Professional | 56 · Pre-op care only | $6.92 | $15.85 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | None | $83.18 | $83.18 | $102.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $489.78 | Professional | None | $263.03 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $851.14 | Facility | None | $281.84 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $194.98 Typical High $331.13 | Professional | None | $63.10 | $194.98 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $676.08 | Professional | None | $371.54 | $512.86 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $562.34 | Facility | None | $257.04 | $316.23 | $562.34 |
Geisinger Setting Professional Modifier None Typical Low $54.95 Median $245.47 Typical High $478.63 | Professional | None | $54.95 | $245.47 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,174.90 | $3,311.31 | $4,570.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $95.50 Median $316.23 Typical High $363.08 | Professional | None | $95.50 | $316.23 | $363.08 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $1,819.70 Typical High $6,165.95 | Facility | None | $263.03 | $1,819.70 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $69.18 Median $194.98 Typical High $316.23 | Professional | None | $69.18 | $194.98 | $316.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $91.20 Typical High $158.49 | Professional | 52 · Reduced service | $34.67 | $91.20 | $158.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $37.15 Typical High $63.10 | Professional | 53 · Discontinued | $14.13 | $37.15 | $63.10 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $138.04 Typical High $234.42 | Professional | 54 · Surgery only | $52.48 | $138.04 | $234.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $27.54 Typical High $46.77 | Professional | 55 · Aftercare only | $10.47 | $27.54 | $46.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $19.50 Typical High $31.62 | Professional | 56 · Pre-op care only | $6.92 | $19.50 | $31.62 |
Oscar Health Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $416.87 | Professional | None | $72.44 | $75.86 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $1,995.26 Typical High $4,677.35 | Facility | None | $112.20 | $1,995.26 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None Typical Low $72.44 Median $173.78 Typical High $269.15 | Professional | None | $72.44 | $173.78 | $269.15 |
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 $66.07 Median $154.88 Typical High $323.59 | Professional | None | $66.07 | $154.88 | $323.59 |
Where Pennsylvania sits
The same service costs 9.0 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 $4,579MT $507
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.