How much rates vary
Facilitymedian $741 · 10th to 90th $380 to $3,631Professionalmedian $209 · 10th to 90th $78 to $331
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 $331.13 Median $2,137.96 Typical High $8,317.64 | Facility | None | $331.13 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $331.13 | Professional | None | $77.62 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $83.18 Typical High $165.96 | Professional | 52 · Reduced service | $38.90 | $83.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $33.88 Typical High $66.07 | Professional | 53 · Discontinued | $15.85 | $33.88 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $125.89 Typical High $245.47 | Professional | 54 · Surgery only | $58.88 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $25.12 Typical High $48.98 | Professional | 55 · Aftercare only | $11.75 | $25.12 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $16.60 Typical High $33.11 | Professional | 56 · Pre-op care only | $7.76 | $16.60 | $33.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $8,709.64 | Facility | None | $3,981.07 | $4,365.16 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $489.78 | Professional | None | $416.87 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $977.24 | Facility | None | $338.84 | $537.03 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $208.93 Typical High $346.74 | Professional | None | $74.13 | $208.93 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $707.95 | Professional | None | $389.05 | $537.03 | $707.95 |
Geisinger Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $1,096.48 | Facility | None | $501.19 | $616.60 | $1,096.48 |
Geisinger Setting Professional Modifier None Typical Low $89.13 Median $281.84 Typical High $501.19 | Professional | None | $89.13 | $281.84 | $501.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $77.62 Median $218.78 Typical High $331.13 | Professional | None | $77.62 | $218.78 | $331.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $95.50 Typical High $165.96 | Professional | 52 · Reduced service | $38.90 | $95.50 | $165.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $38.02 Typical High $66.07 | Professional | 53 · Discontinued | $15.85 | $38.02 | $66.07 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $141.25 Typical High $245.47 | Professional | 54 · Surgery only | $58.88 | $141.25 | $245.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $28.84 Typical High $48.98 | Professional | 55 · Aftercare only | $11.75 | $28.84 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $19.05 Typical High $33.11 | Professional | 56 · Pre-op care only | $7.76 | $19.05 | $33.11 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $489.78 | Professional | None | $144.54 | $154.88 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $812.83 Typical High $1,862.09 | Facility | None | $141.25 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $83.18 Median $218.78 Typical High $281.84 | Professional | None | $83.18 | $218.78 | $281.84 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,630.27 | Facility | None | $416.87 | $724.44 | $2,630.27 |
United Setting Professional Modifier None Typical Low $75.86 Median $169.82 Typical High $338.84 | Professional | None | $75.86 | $169.82 | $338.84 |
Where Pennsylvania sits
The same service costs 5.7 times more in Connecticut 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
CT $3,064ND $538
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.