How much rates vary
Facilitymedian $575 · 10th to 90th $182 to $4,677Professionalmedian $245 · 10th to 90th $170 to $372
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 $295.12 Median $3,090.30 Typical High $8,511.38 | Facility | None | $295.12 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $295.12 | Professional | None | $169.82 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $104.71 Typical High $147.91 | Professional | 52 · Reduced service | $85.11 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $33.88 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $154.88 Typical High $218.78 | Professional | 54 · Surgery only | $125.89 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $30.90 Typical High $43.65 | Professional | 55 · Aftercare only | $25.12 | $30.90 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $20.89 Typical High $29.51 | Professional | 56 · Pre-op care only | $16.98 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $144.54 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $117.49 | $144.54 | $204.17 |
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 $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $234.42 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $229.09 | $234.42 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $208.93 Typical High $380.19 | Facility | None | $50.12 | $208.93 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $407.38 | Professional | None | $181.97 | $239.88 | $407.38 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $398.11 | Facility | None | $181.97 | $229.09 | $398.11 |
Geisinger Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $489.78 | Professional | None | $229.09 | $331.13 | $489.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $295.12 | Professional | None | $169.82 | $257.04 | $295.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $104.71 Typical High $147.91 | Professional | 52 · Reduced service | $85.11 | $104.71 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $33.88 | $41.69 | $58.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $154.88 Typical High $218.78 | Professional | 54 · Surgery only | $125.89 | $154.88 | $218.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $30.90 Typical High $43.65 | Professional | 55 · Aftercare only | $25.12 | $30.90 | $43.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $20.89 Typical High $29.51 | Professional | 56 · Pre-op care only | $16.98 | $20.89 | $29.51 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $144.54 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $117.49 | $144.54 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $524.81 | Professional | None | $245.47 | $245.47 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $1,096.48 Typical High $2,511.89 | Facility | None | $186.21 | $1,096.48 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $281.84 | Professional | None | $181.97 | $229.09 | $281.84 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $426.58 | Professional | None | $173.78 | $263.03 | $426.58 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Texas. 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.
Pennsylvania· 40th of 51
$263
AK $759TX $214
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.