How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $1,230 · 10th to 90th $1,047 to $2,291
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 $831.76 Median $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $812.83 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $758.58 | $794.33 | $794.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,949.84 | $2,398.83 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,951.21 Typical High $3,548.13 | Professional | 50 · Both sides | $1,819.70 | $2,951.21 | $3,548.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,380.38 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $870.96 | $1,380.38 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $676.08 Typical High $2,290.87 | Facility | None | $120.23 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,258.93 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,862.09 | $1,862.09 | $2,089.30 |
Geisinger Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,071.52 | $1,513.56 | $2,454.71 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,071.52 | $1,122.02 | $1,122.02 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $812.83 | $851.14 | $851.14 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $758.58 | $794.33 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $12.88 Median $1,258.93 Typical High $2,187.76 | Professional | None | $12.88 | $1,258.93 | $2,187.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,258.93 | $2,454.71 |
Where Pennsylvania sits
The same service costs 6.8 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· 41st of 51
$1,202
AK $5,012TX $741
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.