How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,096 to $7,413Professionalmedian $813 · 10th to 90th $676 to $1,479
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 $707.95 Median $3,801.89 Typical High $8,317.64 | Facility | None | $707.95 | $3,801.89 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $1,071.52 | Professional | None | $676.08 | $707.95 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $537.03 Typical High $588.84 | Professional | 54 · Surgery only | $512.86 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $501.19 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $478.63 | $501.19 | $549.54 |
AmeriHealth Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
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 $776.25 Median $1,230.27 Typical High $1,513.56 | Professional | None | $776.25 | $1,230.27 | $1,513.56 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $1,000.00 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $630.96 | $1,000.00 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,630.27 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,479.11 | Professional | None | $724.44 | $812.83 | $1,479.11 |
Emblem Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,096.48 | $1,096.48 | $1,148.15 |
Geisinger Setting Facility Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $5,754.40 | Facility | None | $2,630.27 | $3,311.31 | $5,754.40 |
Geisinger Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,513.56 | Professional | None | $707.95 | $933.25 | $1,513.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $8,128.31 Typical High $18,197.01 | Facility | None | $2,398.83 | $8,128.31 | $18,197.01 |
Independence Blue Cross Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $10,715.19 | Facility | None | $8,511.38 | $8,511.38 | $10,715.19 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $3,715.35 Typical High $8,317.64 | Facility | None | $707.95 | $3,715.35 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $1,096.48 | Professional | None | $676.08 | $707.95 | $1,096.48 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | 54 · Surgery only | $512.86 | $537.03 | $562.34 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $501.19 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $478.63 | $501.19 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,659.59 | Professional | None | $891.25 | $933.25 | $1,659.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $758.58 Median $4,897.79 Typical High $8,511.38 | Facility | None | $758.58 | $4,897.79 | $8,511.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $851.14 | Professional | None | $758.58 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $6,918.31 | Facility | None | $1,380.38 | $2,454.71 | $6,918.31 |
United Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,548.82 | Professional | None | $724.44 | $891.25 | $1,548.82 |
Where Pennsylvania sits
The same service costs 5.1 times more in Oklahoma 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
OK $11,988MT $2,350
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.