How much rates vary
Facilitymedian $1,349 · 10th to 90th $501 to $5,012Professionalmedian $741 · 10th to 90th $617 to $1,175
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 $660.69 Median $3,090.30 Typical High $8,511.38 | Facility | None | $660.69 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $794.33 | Professional | None | $616.60 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $354.81 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $537.03 Typical High $602.56 | Professional | 54 · Surgery only | $467.74 | $537.03 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $107.15 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $70.79 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $501.19 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $436.52 | $501.19 | $562.34 |
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 $616.60 Median $630.96 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $616.60 | $630.96 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,202.26 Typical High $2,290.87 | Facility | None | $501.19 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,318.26 | Professional | None | $616.60 | $707.95 | $1,318.26 |
Emblem Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Geisinger Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,630.27 | Facility | None | $1,202.26 | $1,513.56 | $2,630.27 |
Geisinger Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,548.82 | Professional | None | $707.95 | $1,071.52 | $1,548.82 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $724.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $794.33 | Professional | None | $616.60 | $741.31 | $794.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $354.81 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $354.81 | $398.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $141.25 | $158.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $467.74 | $524.81 | $602.56 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $93.33 | $104.71 | $120.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $70.79 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $70.79 | $79.43 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $436.52 | $489.78 | $562.34 |
Oscar Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,513.56 | Professional | None | $741.31 | $741.31 | $1,513.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $660.69 Median $1,819.70 Typical High $4,168.69 | Facility | None | $660.69 | $1,819.70 | $4,168.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $851.14 | Professional | None | $660.69 | $776.25 | $851.14 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,981.07 | Facility | None | $416.87 | $724.44 | $3,981.07 |
United Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,445.44 | Professional | None | $630.96 | $812.83 | $1,445.44 |
Where Pennsylvania sits
The same service costs 4.9 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· 42nd of 51
$776
AK $2,884TX $589
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.