How much rates vary
Facilitymedian $282 · 10th to 90th $65 to $4,467Professionalmedian $339 · 10th to 90th $186 to $479
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 $194.98 Median $3,630.78 Typical High $8,511.38 | Facility | None | $194.98 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $363.08 | Professional | None | $181.97 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $91.20 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $36.31 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $218.78 Typical High $275.42 | Professional | 54 · Surgery only | $138.04 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $43.65 Typical High $54.95 | Professional | 55 · Aftercare only | $27.54 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $29.51 Typical High $36.31 | Professional | 56 · Pre-op care only | $18.20 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $204.17 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $128.82 | $204.17 | $257.04 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $275.42 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $263.03 | $275.42 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $549.54 | Professional | None | $194.98 | $346.74 | $549.54 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Geisinger Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $645.65 | Professional | None | $257.04 | $467.74 | $645.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $3,630.78 Typical High $8,709.64 | Facility | None | $363.08 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $363.08 | Professional | None | $181.97 | $338.84 | $363.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $91.20 | $147.91 | $181.97 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $36.31 | $58.88 | $72.44 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $218.78 Typical High $275.42 | Professional | 54 · Surgery only | $138.04 | $218.78 | $275.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $43.65 Typical High $54.95 | Professional | 55 · Aftercare only | $27.54 | $43.65 | $54.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $29.51 Typical High $36.31 | Professional | 56 · Pre-op care only | $18.20 | $29.51 | $36.31 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $204.17 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $128.82 | $204.17 | $257.04 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $851.14 | Professional | None | $218.78 | $218.78 | $851.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $436.52 | Facility | None | $208.93 | $338.84 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $208.93 Median $371.54 Typical High $426.58 | Professional | None | $208.93 | $371.54 | $426.58 |
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 $204.17 Median $354.81 Typical High $588.84 | Professional | None | $204.17 | $354.81 | $588.84 |
Where Pennsylvania sits
The same service costs 4.6 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· 36th of 51
$339
AK $1,000TX $219
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.