How much rates vary
Facilitymedian $3,236 · 10th to 90th $537 to $10,471Professionalmedian $324 · 10th to 90th $162 to $2,399
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 $416.87 Median $2,187.76 Typical High $6,165.95 | Facility | None | $416.87 | $2,187.76 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $2,344.23 | Professional | None | $281.84 | $346.74 | $2,344.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $162.18 Typical High $1,174.90 | Professional | 52 · Reduced service | $141.25 | $162.18 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $64.57 Typical High $467.74 | Professional | 53 · Discontinued | $56.23 | $64.57 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $245.47 Typical High $1,737.80 | Professional | 54 · Surgery only | $208.93 | $245.47 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $346.74 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $32.36 Typical High $234.42 | Professional | 56 · Pre-op care only | $28.18 | $32.36 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $229.09 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $194.98 | $229.09 | $1,621.81 |
AmeriHealth Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $8,128.31 | Facility | None | $7,079.46 | $7,079.46 | $8,128.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $15,848.93 Typical High $56,234.13 | Facility | None | $3,981.07 | $15,848.93 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $56,234.13 | Professional | None | $478.63 | $512.86 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $1,621.81 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $398.11 | $1,621.81 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $5,495.41 Typical High $10,471.29 | Facility | None | $501.19 | $5,495.41 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $2,570.40 | Professional | None | $138.04 | $239.88 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,884.03 | $3,801.89 | $3,801.89 |
Geisinger Setting Facility Modifier None Typical Low $5,623.41 Median $7,079.46 Typical High $12,302.69 | Facility | None | $5,623.41 | $7,079.46 | $12,302.69 |
Geisinger Setting Professional Modifier None Typical Low $181.97 Median $1,548.82 Typical High $3,235.94 | Professional | None | $181.97 | $1,548.82 | $3,235.94 |
Highmark BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $11,748.98 Typical High $30,199.52 | Facility | None | $9,120.11 | $11,748.98 | $30,199.52 |
Highmark BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Independence Blue Cross Setting Facility Modifier None Typical Low $5,888.44 Median $7,079.46 Typical High $8,128.31 | Facility | None | $5,888.44 | $7,079.46 | $8,128.31 |
Martin's Point Setting Facility Modifier None Typical Low $436.52 Median $2,344.23 Typical High $6,165.95 | Facility | None | $436.52 | $2,344.23 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $2,344.23 | Professional | None | $281.84 | $323.59 | $2,344.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $162.18 Typical High $1,174.90 | Professional | 52 · Reduced service | $141.25 | $162.18 | $1,174.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $64.57 Typical High $467.74 | Professional | 53 · Discontinued | $56.23 | $64.57 | $467.74 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $245.47 Typical High $1,737.80 | Professional | 54 · Surgery only | $208.93 | $245.47 | $1,737.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $346.74 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $346.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $32.36 Typical High $234.42 | Professional | 56 · Pre-op care only | $28.18 | $32.36 | $234.42 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $229.09 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $194.98 | $229.09 | $1,621.81 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $2,570.40 | Professional | None | $190.55 | $190.55 | $2,570.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $1,122.02 Typical High $2,041.74 | Facility | None | $128.82 | $1,122.02 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $2,041.74 | Professional | None | $128.82 | $169.82 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $8,709.64 | Facility | None | $1,698.24 | $3,235.94 | $8,709.64 |
United Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $2,691.53 | Professional | None | $218.78 | $446.68 | $2,691.53 |
Where Pennsylvania sits
The same service costs 13.1 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 $15,603MT $1,192
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.