How much rates vary
Facilitymedian $589 · 10th to 90th $224 to $2,951Professionalmedian $191 · 10th to 90th $81 to $288
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 $112.20 Median $1,071.52 Typical High $6,165.95 | Facility | None | $112.20 | $1,071.52 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $239.88 | Professional | None | $81.28 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $40.74 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $31.62 Typical High $47.86 | Professional | 53 · Discontinued | $16.22 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $114.82 Typical High $181.97 | Professional | 54 · Surgery only | $60.26 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $23.99 Typical High $36.31 | Professional | 55 · Aftercare only | $12.02 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $15.85 Typical High $23.99 | Professional | 56 · Pre-op care only | $8.13 | $15.85 | $23.99 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $8,709.64 | Facility | None | $2,630.27 | $2,818.38 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $56,234.13 | Professional | None | $138.04 | $147.91 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $933.25 | Facility | None | $338.84 | $524.81 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $194.98 Typical High $309.03 | Professional | None | $81.28 | $194.98 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | None | $302.00 | $398.11 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,023.29 | Facility | None | $467.74 | $588.84 | $1,023.29 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $263.03 Typical High $457.09 | Professional | None | $114.82 | $263.03 | $457.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $4,466.84 | Facility | None | $1,698.24 | $2,511.89 | $4,466.84 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $1,584.89 Typical High $6,165.95 | Facility | None | $141.25 | $1,584.89 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $239.88 | Professional | None | $81.28 | $173.78 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $40.74 | $77.62 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $31.62 Typical High $47.86 | Professional | 53 · Discontinued | $16.22 | $31.62 | $47.86 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $114.82 Typical High $181.97 | Professional | 54 · Surgery only | $60.26 | $114.82 | $181.97 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $23.99 Typical High $36.31 | Professional | 55 · Aftercare only | $12.02 | $23.99 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $15.85 Typical High $23.99 | Professional | 56 · Pre-op care only | $8.13 | $15.85 | $23.99 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $389.05 | Professional | None | $199.53 | $199.53 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $812.83 Typical High $1,862.09 | Facility | None | $141.25 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $223.87 Typical High $309.03 | Professional | None | $91.20 | $223.87 | $309.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,187.76 | Facility | None | $199.53 | $436.52 | $2,187.76 |
United Setting Professional Modifier None Typical Low $93.33 Median $177.83 Typical High $316.23 | Professional | None | $93.33 | $177.83 | $316.23 |
Where Pennsylvania sits
The same service costs 6.4 times more in New York 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
NY $2,882MT $448
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.