How much rates vary
Facilitymedian $617 · 10th to 90th $87 to $6,026Professionalmedian $269 · 10th to 90th $224 to $427
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 $263.03 Median $1,819.70 Typical High $8,317.64 | Facility | None | $263.03 | $1,819.70 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $281.84 | Professional | None | $218.78 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $123.03 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | 54 · Surgery only | $165.96 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $36.31 Typical High $38.90 | Professional | 55 · Aftercare only | $33.11 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $24.55 Typical High $26.30 | Professional | 56 · Pre-op care only | $21.88 | $24.55 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | None | $281.84 | $436.52 | $436.52 |
AmeriHealth Setting Facility Modifier None Typical Low $4,265.80 Median $5,495.41 Typical High $10,715.19 | Facility | None | $4,265.80 | $5,495.41 | $10,715.19 |
AmeriHealth Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | None | $269.15 | $269.15 | $288.40 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $446.68 | Professional | None | $257.04 | $269.15 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Facility | None | $457.09 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $616.60 | Professional | None | $251.19 | $309.03 | $616.60 |
Emblem Health Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $416.87 | Professional | None | $288.40 | $416.87 | $416.87 |
Geisinger Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $478.63 | Professional | None | $234.42 | $302.00 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $5,623.41 | Facility | None | $724.44 | $1,778.28 | $5,623.41 |
Highmark BCBS Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $354.81 | Professional | None | $229.09 | $281.84 | $354.81 |
Independence Blue Cross Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None | $269.15 | $269.15 | $309.03 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $1,819.70 Typical High $8,317.64 | Facility | None | $263.03 | $1,819.70 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | None | $218.78 | $245.47 | $275.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $117.49 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $46.77 | $52.48 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $177.83 Typical High $194.98 | Professional | 54 · Surgery only | $165.96 | $177.83 | $194.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $35.48 Typical High $38.90 | Professional | 55 · Aftercare only | $33.11 | $35.48 | $38.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $26.30 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $1,000.00 | Professional | None | $12.88 | $12.88 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $676.08 Typical High $1,071.52 | Facility | None | $251.19 | $676.08 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | None | $251.19 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $446.68 | Professional | None | $245.47 | $346.74 | $446.68 |
Where Pennsylvania sits
The same service costs 31.3 times more in Alabama 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
AL $15,163MD $484
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.