How much rates vary
Facilitymedian $513 · 10th to 90th $68 to $2,818Professionalmedian $107 · 10th to 90th $74 to $186
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 $107.15 Median $1,995.26 Typical High $7,943.28 | Facility | None | $107.15 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $125.89 | Professional | None | $69.18 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $48.98 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.50 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $72.44 Typical High $81.28 | Professional | 54 · Surgery only | $51.29 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.45 Typical High $16.22 | Professional | 55 · Aftercare only | $10.23 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.77 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $9.77 | $10.72 |
AmeriHealth Setting Facility Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,818.38 | Facility | None | $1,258.93 | $1,698.24 | $2,818.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $218.78 | Professional | None | $181.97 | $213.80 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $245.47 Typical High $549.54 | Facility | None | $56.23 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $204.17 | Professional | None | $74.13 | $109.65 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | None | $173.78 | $173.78 | $181.97 |
Geisinger Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $112.20 | Facility | None | $51.29 | $63.10 | $112.20 |
Geisinger Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $208.93 | Professional | None | $89.13 | $131.83 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $2,630.27 | Facility | None | $660.69 | $1,412.54 | $2,630.27 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,023.29 | $1,698.24 | $2,951.21 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $1,995.26 Typical High $6,606.93 | Facility | None | $107.15 | $1,995.26 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $128.82 | Professional | None | $69.18 | $97.72 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $47.86 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.05 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $19.05 | $21.38 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $72.44 Typical High $81.28 | Professional | 54 · Surgery only | $51.29 | $72.44 | $81.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.45 Typical High $16.22 | Professional | 55 · Aftercare only | $10.23 | $14.45 | $16.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.55 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $9.55 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $234.42 | Professional | None | $125.89 | $141.25 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $85.11 Median $302.00 Typical High $691.83 | Facility | None | $85.11 | $302.00 | $691.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $162.18 | Professional | None | $75.86 | $104.71 | $162.18 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $186.21 | Professional | None | $79.43 | $112.20 | $186.21 |
Where Pennsylvania sits
The same service costs 12.3 times more in Connecticut than in West Virginia. 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 $2,823WV $230
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.