How much rates vary
Facilitymedian $3,090 · 10th to 90th $603 to $7,413Professionalmedian $331 · 10th to 90th $302 to $550
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 $588.84 Median $3,801.89 Typical High $8,317.64 | Facility | None | $588.84 | $3,801.89 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $363.08 | Professional | None | $302.00 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $229.09 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $33.88 | Professional | 56 · Pre-op care only | $30.20 | $33.11 | $33.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $6,918.31 | Facility | None | $501.19 | $2,691.53 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $660.69 | Professional | None | $316.23 | $371.54 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $645.65 | Professional | None | $354.81 | $467.74 | $645.65 |
Geisinger Setting Facility Modifier None Typical Low $4,168.69 Median $5,128.61 Typical High $9,120.11 | Facility | None | $4,168.69 | $5,128.61 | $9,120.11 |
Geisinger Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $660.69 | Professional | None | $309.03 | $407.38 | $660.69 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $3,715.35 Typical High $8,317.64 | Facility | None | $588.84 | $3,715.35 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $338.84 | Professional | None | $302.00 | $331.13 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $165.96 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $61.66 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $229.09 | $251.19 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $33.88 | Professional | 56 · Pre-op care only | $30.20 | $33.11 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $831.76 | Professional | None | $478.63 | $501.19 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $1,737.80 Typical High $3,467.37 | Facility | None | $323.59 | $1,737.80 | $3,467.37 |
UPMC Health Plan Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $398.11 | Professional | None | $323.59 | $331.13 | $398.11 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,025.60 | Facility | None | $1,148.15 | $1,905.46 | $6,025.60 |
United Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $549.54 | Professional | None | $288.40 | $346.74 | $549.54 |
Where Pennsylvania sits
The same service costs 7.2 times more in Wisconsin 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
WI $7,422MT $1,038
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.