How much rates vary
Facilitymedian $933 · 10th to 90th $417 to $4,074Professionalmedian $269 · 10th to 90th $224 to $661
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 $223.87 Median $245.47 Typical High $257.04 | Professional | None | $223.87 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $186.21 Typical High $190.55 | Professional | 54 · Surgery only | $165.96 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $37.15 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $24.55 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.39 | $24.55 | $25.70 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $407.38 | Professional | None | $204.17 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $724.44 Typical High $1,412.54 | Facility | None | $338.84 | $724.44 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $660.69 | Professional | None | $245.47 | $288.40 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | None | $288.40 | $371.54 | $371.54 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,584.89 | Facility | None | $724.44 | $891.25 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $977.24 | Professional | None | $218.78 | $316.23 | $977.24 |
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 $223.87 Median $245.47 Typical High $257.04 | Professional | None | $223.87 | $245.47 | $257.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $44.67 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $186.21 Typical High $190.55 | Professional | 54 · Surgery only | $165.96 | $186.21 | $190.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $37.15 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $37.15 | $38.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $24.55 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.39 | $24.55 | $25.70 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $1,047.13 | Professional | None | $288.40 | $331.13 | $1,047.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $977.24 Typical High $1,949.84 | Facility | None | $257.04 | $977.24 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $257.04 Median $549.54 Typical High $794.33 | Professional | None | $257.04 | $549.54 | $794.33 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,630.78 | Facility | None | $416.87 | $724.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $707.95 | Professional | None | $251.19 | $338.84 | $707.95 |
Where Pennsylvania sits
The same service costs 6.0 times more in Colorado 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
CO $4,737MT $787
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.