How much rates vary
Facilitymedian $158 · 10th to 90th $65 to $4,266Professionalmedian $105 · 10th to 90th $79 to $162
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 $104.71 Median $3,630.78 Typical High $8,511.38 | Facility | None | $104.71 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $112.20 | Professional | None | $79.43 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $38.90 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $79.43 Typical High $83.18 | Professional | 54 · Surgery only | $58.88 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $11.75 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.94 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $74.13 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $54.95 | $74.13 | $77.62 |
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 $173.78 Median $239.88 Typical High $239.88 | Professional | None | $173.78 | $239.88 | $239.88 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $100.00 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $97.72 | $100.00 | $245.47 |
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 $85.11 Median $112.20 Typical High $181.97 | Professional | None | $85.11 | $112.20 | $181.97 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $263.03 | Professional | None | $109.65 | $141.25 | $263.03 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $3,630.78 Typical High $8,709.64 | Facility | None | $109.65 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $112.20 | Professional | None | $79.43 | $104.71 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $38.90 | $52.48 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $20.89 | $22.39 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $79.43 Typical High $83.18 | Professional | 54 · Surgery only | $58.88 | $79.43 | $83.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $11.75 | $15.85 | $16.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.94 | $10.47 | $10.96 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $74.13 Typical High $77.62 | Professional | 78 · Unplanned return to OR | $54.95 | $74.13 | $77.62 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None | $120.23 | $120.23 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $79.43 Median $120.23 Typical High $190.55 | Facility | None | $79.43 | $120.23 | $190.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $120.23 | Professional | None | $79.43 | $104.71 | $120.23 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $199.53 | Professional | None | $85.11 | $112.20 | $199.53 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in New York. 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· 46th of 51
$107
AK $380NY $100
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.