How much rates vary
Facilitymedian $1,202 · 10th to 90th $309 to $4,898Professionalmedian $138 · 10th to 90th $89 to $251
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 $134.90 Median $1,995.26 Typical High $7,244.36 | Facility | None | $134.90 | $1,995.26 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $218.78 | Professional | None | $85.11 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $16.98 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $95.50 Typical High $102.33 | Professional | 54 · Surgery only | $63.10 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.05 Typical High $20.42 | Professional | 55 · Aftercare only | $12.59 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $12.59 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.51 | $12.59 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $162.18 | Professional | None | $123.03 | $134.90 | $162.18 |
AmeriHealth Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | None | $100.00 | $100.00 | $128.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,981.07 | $6,025.60 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $251.19 | Professional | None | $144.54 | $151.36 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $933.25 Typical High $1,659.59 | Facility | None | $346.74 | $933.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $257.04 | Professional | None | $95.50 | $154.88 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | None | $245.47 | $245.47 | $257.04 |
Geisinger Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $2,137.96 | Facility | None | $977.24 | $1,202.26 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $323.59 | Professional | None | $107.15 | $204.17 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $3,715.35 Typical High $9,549.93 | Facility | None | $316.23 | $3,715.35 | $9,549.93 |
Independence Blue Cross Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | None | $100.00 | $100.00 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $1,995.26 Typical High $6,165.95 | Facility | None | $134.90 | $1,995.26 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $223.87 | Professional | None | $85.11 | $134.90 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $63.10 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $16.98 | $25.12 | $27.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $95.50 Typical High $102.33 | Professional | 54 · Surgery only | $63.10 | $95.50 | $102.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.05 Typical High $20.42 | Professional | 55 · Aftercare only | $12.59 | $19.05 | $20.42 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $12.59 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.51 | $12.59 | $13.80 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $2,398.83 | Professional | None | $173.78 | $251.19 | $2,398.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $436.52 | Facility | None | $144.54 | $295.12 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $338.84 | Professional | None | $93.33 | $169.82 | $338.84 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $3,981.07 | Facility | None | $812.83 | $1,318.26 | $3,981.07 |
United Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $263.03 | Professional | None | $100.00 | $154.88 | $263.03 |
Where Pennsylvania sits
The same service costs 12.7 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 $4,551ND $359
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.