How much rates vary
Facilitymedian $355 · 10th to 90th $95 to $2,344Professionalmedian $389 · 10th to 90th $302 to $617
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 $316.23 Median $3,630.78 Typical High $8,511.38 | Facility | None | $316.23 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $407.38 | Professional | None | $302.00 | $389.05 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $151.36 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $81.28 | Professional | 53 · Discontinued | $60.26 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $288.40 Typical High $309.03 | Professional | 54 · Surgery only | $223.87 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $57.54 Typical High $61.66 | Professional | 55 · Aftercare only | $45.71 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $30.20 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $208.93 | $269.15 | $288.40 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $56,234.13 | Professional | None | $741.31 | $741.31 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $323.59 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $316.23 | $323.59 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $616.60 | Facility | None | $239.88 | $354.81 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $707.95 | Professional | None | $323.59 | $407.38 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Geisinger Setting Facility Modifier None Typical Low $218.78 Median $269.15 Typical High $478.63 | Facility | None | $218.78 | $269.15 | $478.63 |
Geisinger Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $758.58 | Professional | None | $380.19 | $549.54 | $758.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Martin's Point Setting Facility Modifier None Typical Low $407.38 Median $3,630.78 Typical High $8,709.64 | Facility | None | $407.38 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $407.38 | Professional | None | $302.00 | $389.05 | $407.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $151.36 | $190.55 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $81.28 | Professional | 53 · Discontinued | $60.26 | $77.62 | $81.28 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $288.40 Typical High $309.03 | Professional | 54 · Surgery only | $223.87 | $288.40 | $309.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $57.54 Typical High $61.66 | Professional | 55 · Aftercare only | $45.71 | $57.54 | $61.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $30.20 | $38.90 | $40.74 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $208.93 | $269.15 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $954.99 | Professional | None | $371.54 | $371.54 | $954.99 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $812.83 Typical High $1,862.09 | Facility | None | $323.59 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $436.52 | Professional | None | $323.59 | $416.87 | $436.52 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,348.96 | Facility | None | $77.62 | $158.49 | $1,348.96 |
United Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $741.31 | Professional | None | $323.59 | $426.58 | $741.31 |
Where Pennsylvania sits
The same service costs 6.0 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
$389
AK $1,445TX $240
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.