How much rates vary
Facilitymedian $468 · 10th to 90th $251 to $4,169Professionalmedian $331 · 10th to 90th $240 to $447
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 $309.03 Median $1,047.13 Typical High $6,165.95 | Facility | None | $309.03 | $1,047.13 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $398.11 | Professional | None | $229.09 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $114.82 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $67.61 Typical High $79.43 | Professional | 53 · Discontinued | $46.77 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $251.19 Typical High $295.12 | Professional | 54 · Surgery only | $173.78 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $34.67 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $33.11 Typical High $39.81 | Professional | 56 · Pre-op care only | $22.91 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $234.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $162.18 | $234.42 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
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 $380.19 Median $407.38 Typical High $56,234.13 | Professional | None | $380.19 | $407.38 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $263.03 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $251.19 | $263.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $380.19 Typical High $645.65 | Facility | None | $56.23 | $380.19 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $562.34 | Professional | None | $251.19 | $331.13 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | None | $512.86 | $676.08 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $602.56 | Facility | None | $275.42 | $338.84 | $602.56 |
Geisinger Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $741.31 | Professional | None | $295.12 | $446.68 | $741.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $549.54 Median $3,890.45 Typical High $7,762.47 | Facility | None | $549.54 | $3,890.45 | $7,762.47 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $1,513.56 Typical High $6,165.95 | Facility | None | $389.05 | $1,513.56 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $398.11 | Professional | None | $229.09 | $338.84 | $398.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $162.18 Typical High $194.98 | Professional | 52 · Reduced service | $114.82 | $162.18 | $194.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $64.57 Typical High $79.43 | Professional | 53 · Discontinued | $46.77 | $64.57 | $79.43 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $245.47 Typical High $295.12 | Professional | 54 · Surgery only | $173.78 | $245.47 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $48.98 Typical High $58.88 | Professional | 55 · Aftercare only | $34.67 | $48.98 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $32.36 Typical High $39.81 | Professional | 56 · Pre-op care only | $22.91 | $32.36 | $39.81 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $229.09 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $162.18 | $229.09 | $275.42 |
Oscar Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | None | $354.81 | $354.81 | $446.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $234.42 Median $1,659.59 Typical High $4,466.84 | Facility | None | $234.42 | $1,659.59 | $4,466.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $363.08 | Professional | None | $234.42 | $309.03 | $363.08 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $3,467.37 | Facility | None | $199.53 | $436.52 | $3,467.37 |
United Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $501.19 | Professional | None | $257.04 | $323.59 | $501.19 |
Where Pennsylvania sits
The same service costs 4.5 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· 40th of 51
$331
AK $1,072TX $240
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.