How much rates vary
Facilitymedian $1,047 · 10th to 90th $457 to $5,012Professionalmedian $851 · 10th to 90th $191 to $1,549
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 $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $707.95 Typical High $1,000.00 | Professional | None | $181.97 | $707.95 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $316.23 Typical High $489.78 | Professional | 52 · Reduced service | $89.13 | $316.23 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $128.82 Typical High $199.53 | Professional | 53 · Discontinued | $36.31 | $128.82 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $478.63 Typical High $741.31 | Professional | 54 · Surgery only | $134.90 | $478.63 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $95.50 Typical High $147.91 | Professional | 55 · Aftercare only | $26.92 | $95.50 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $64.57 Typical High $100.00 | Professional | 56 · Pre-op care only | $18.20 | $64.57 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $251.19 | Professional | None | $158.49 | $158.49 | $251.19 |
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 $812.83 Median $1,412.54 Typical High $1,698.24 | Professional | None | $812.83 | $1,412.54 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $891.25 Typical High $1,905.46 | Facility | None | $501.19 | $891.25 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $645.65 Typical High $1,096.48 | Professional | None | $186.21 | $645.65 | $1,096.48 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,380.38 | $1,819.70 |
Geisinger Setting Professional Modifier None Typical Low $245.47 Median $891.25 Typical High $1,380.38 | Professional | None | $245.47 | $891.25 | $1,380.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $9,772.37 | Facility | None | $2,238.72 | $3,388.44 | $9,772.37 |
Highmark BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,570.40 Typical High $8,317.64 | Facility | None | $575.44 | $2,570.40 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $707.95 Typical High $1,000.00 | Professional | None | $181.97 | $707.95 | $1,000.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $338.84 Typical High $489.78 | Professional | 52 · Reduced service | $89.13 | $338.84 | $489.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $134.90 Typical High $199.53 | Professional | 53 · Discontinued | $36.31 | $134.90 | $199.53 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $512.86 Typical High $741.31 | Professional | 54 · Surgery only | $134.90 | $512.86 | $741.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $102.33 Typical High $147.91 | Professional | 55 · Aftercare only | $26.92 | $102.33 | $147.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $67.61 Typical High $100.00 | Professional | 56 · Pre-op care only | $18.20 | $67.61 | $100.00 |
Oscar Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,548.82 | Professional | None | $977.24 | $977.24 | $1,548.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $1,288.25 Typical High $2,398.83 | Facility | None | $186.21 | $1,288.25 | $2,398.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $186.21 Median $851.14 Typical High $912.01 | Professional | None | $186.21 | $851.14 | $912.01 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,630.78 | Facility | None | $416.87 | $724.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $169.82 Median $616.60 Typical High $1,122.02 | Professional | None | $169.82 | $616.60 | $1,122.02 |
Where Pennsylvania sits
The same service costs 5.2 times more in Colorado 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
CO $5,090MD $977
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.