How much rates vary
Facilitymedian $4,677 · 10th to 90th $617 to $11,749Professionalmedian $575 · 10th to 90th $501 to $1,148
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 $724.44 Median $5,495.41 Typical High $9,332.54 | Facility | None | $724.44 | $5,495.41 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $588.84 | Professional | None | $489.78 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $245.47 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $97.72 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $426.58 Typical High $436.52 | Professional | 54 · Surgery only | $371.54 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $74.13 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $48.98 | $56.23 | $57.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $11,748.98 | Facility | None | $501.19 | $2,691.53 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,148.15 | Professional | None | $524.81 | $616.60 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $933.25 | Professional | None | $812.83 | $812.83 | $933.25 |
Geisinger Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,148.15 | Professional | None | $524.81 | $707.95 | $1,148.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $57,543.99 Typical High $87,096.36 | Facility | None | $2,238.72 | $57,543.99 | $87,096.36 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $5,128.61 Typical High $9,772.37 | Facility | None | $831.76 | $5,128.61 | $9,772.37 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $588.84 | Professional | None | $489.78 | $575.44 | $588.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $245.47 | $281.84 | $288.40 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $97.72 | $112.20 | $117.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $426.58 Typical High $436.52 | Professional | 54 · Surgery only | $371.54 | $426.58 | $436.52 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $74.13 | $85.11 | $87.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $48.98 | $56.23 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $2,238.72 | Professional | None | $630.96 | $1,148.15 | $2,238.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $562.34 Median $1,862.09 Typical High $3,311.31 | Facility | None | $562.34 | $1,862.09 | $3,311.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $562.34 Median $1,071.52 Typical High $1,174.90 | Professional | None | $562.34 | $1,071.52 | $1,174.90 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,818.38 | $5,495.41 | $14,125.38 |
United Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,148.15 | Professional | None | $549.54 | $724.44 | $1,148.15 |
Where Pennsylvania sits
The same service costs 9.8 times more in Alaska 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
AK $17,480MT $1,783
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.