How much rates vary
Facilitymedian $490 · 10th to 90th $81 to $3,981Professionalmedian $117 · 10th to 90th $85 to $195
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 $125.89 Median $2,344.23 Typical High $8,317.64 | Facility | None | $125.89 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $125.89 | Professional | None | $77.62 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $38.90 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $21.38 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $81.28 Typical High $93.33 | Professional | 54 · Surgery only | $58.88 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $11.75 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.72 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.76 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $75.86 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $54.95 | $75.86 | $87.10 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $194.98 | Professional | None | $123.03 | $128.82 | $194.98 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $102.33 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $100.00 | $102.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $169.82 | Facility | None | $50.12 | $97.72 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $194.98 | Professional | None | $87.10 | $117.49 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | None | $165.96 | $218.78 | $218.78 |
Geisinger Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $173.78 | Facility | None | $79.43 | $100.00 | $173.78 |
Geisinger Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $275.42 | Professional | None | $120.23 | $162.18 | $275.42 |
Highmark BCBS Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $131.83 | Professional | None | $97.72 | $123.03 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $125.89 | Professional | None | $77.62 | $107.15 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $38.90 | $52.48 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $20.89 | $25.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $79.43 Typical High $93.33 | Professional | 54 · Surgery only | $58.88 | $79.43 | $93.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.85 Typical High $19.05 | Professional | 55 · Aftercare only | $11.75 | $15.85 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.47 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.76 | $10.47 | $12.59 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $74.13 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $54.95 | $74.13 | $87.10 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $257.04 | Professional | None | $144.54 | $239.88 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $275.42 | Facility | None | $87.10 | $151.36 | $275.42 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $218.78 Typical High $275.42 | Professional | None | $87.10 | $218.78 | $275.42 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,467.37 | Facility | None | $416.87 | $724.44 | $3,467.37 |
United Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $177.83 | Professional | None | $87.10 | $112.20 | $177.83 |
Where Pennsylvania sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 39th of 51
$117
AK $363FL $91.20
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.