How much rates vary
Facilitymedian $372 · 10th to 90th $98 to $3,311Professionalmedian $129 · 10th to 90th $105 to $240
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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $138.04 | Professional | None | $100.00 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $87.10 Typical High $87.10 | Professional | 54 · Surgery only | $75.86 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $15.14 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.00 | $11.75 | $11.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $199.53 | Professional | None | $102.33 | $162.18 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $323.59 Typical High $562.34 | Facility | None | $181.97 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $245.47 | Professional | None | $112.20 | $131.83 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | None | $154.88 | $154.88 | $165.96 |
Geisinger Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $354.81 | Facility | None | $162.18 | $204.17 | $354.81 |
Geisinger Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $245.47 | Professional | None | $100.00 | $144.54 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $125.89 | Professional | None | $100.00 | $117.49 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.44 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $87.10 Typical High $87.10 | Professional | 54 · Surgery only | $75.86 | $87.10 | $87.10 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $15.14 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.00 | $11.75 | $11.75 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $281.84 | Professional | None | $131.83 | $186.21 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $1,122.02 Typical High $2,238.72 | Facility | None | $114.82 | $1,122.02 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | None | $114.82 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $245.47 | Professional | None | $117.49 | $162.18 | $245.47 |
Where Pennsylvania sits
The same service costs 8.9 times more in New York 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
NY $2,750MD $308
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.