How much rates vary
Facilitymedian $468 · 10th to 90th $309 to $3,981Professionalmedian $437 · 10th to 90th $316 to $692
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 $331.13 Median $3,630.78 Typical High $8,511.38 | Facility | None | $331.13 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $446.68 | Professional | None | $316.23 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $158.49 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $63.10 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $309.03 Typical High $331.13 | Professional | 54 · Surgery only | $234.42 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $46.77 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $218.78 | $295.12 | $309.03 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $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 $338.84 Median $354.81 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $338.84 | $354.81 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $645.65 | Facility | None | $316.23 | $436.52 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $794.33 | Professional | None | $338.84 | $457.09 | $794.33 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Geisinger Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $676.08 | Facility | None | $309.03 | $389.05 | $676.08 |
Geisinger Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $912.01 | Professional | None | $426.58 | $630.96 | $912.01 |
Martin's Point Setting Facility Modifier None Typical Low $446.68 Median $3,630.78 Typical High $8,709.64 | Facility | None | $446.68 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $446.68 | Professional | None | $316.23 | $416.87 | $446.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $158.49 | $208.93 | $223.87 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $63.10 | $83.18 | $89.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $309.03 Typical High $331.13 | Professional | 54 · Surgery only | $234.42 | $309.03 | $331.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $46.77 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $41.69 | $44.67 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $218.78 | $295.12 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $1,122.02 | Professional | None | $354.81 | $354.81 | $1,122.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $1,258.93 Typical High $2,884.03 | Facility | None | $371.54 | $1,258.93 | $2,884.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $512.86 | Professional | None | $354.81 | $457.09 | $512.86 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $3,890.45 | Facility | None | $199.53 | $436.52 | $3,890.45 |
United Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $831.76 | Professional | None | $354.81 | $489.78 | $831.76 |
Where Pennsylvania sits
The same service costs 5.1 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· 44th of 51
$437
AK $1,514TX $295
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.