How much rates vary
Facilitymedian $1,622 · 10th to 90th $513 to $5,370Professionalmedian $437 · 10th to 90th $339 to $589
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 $489.78 Median $2,691.53 Typical High $8,317.64 | Facility | None | $489.78 | $2,691.53 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | None | $323.59 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $162.18 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $64.57 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $316.23 Typical High $363.08 | Professional | 54 · Surgery only | $245.47 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $63.10 Typical High $72.44 | Professional | 55 · Aftercare only | $48.98 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $41.69 Typical High $48.98 | Professional | 56 · Pre-op care only | $32.36 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $295.12 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $229.09 | $295.12 | $338.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $8,709.64 | Facility | None | $3,981.07 | $7,413.10 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $56,234.13 | Professional | None | $524.81 | $575.44 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $331.13 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $316.23 | $331.13 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,412.54 Typical High $2,398.83 | Facility | None | $478.63 | $1,412.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $758.58 | Professional | None | $346.74 | $436.52 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | None | $616.60 | $812.83 | $812.83 |
Geisinger Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,162.28 | Facility | None | $1,445.44 | $1,778.28 | $3,162.28 |
Geisinger Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $1,000.00 | Professional | None | $407.38 | $549.54 | $1,000.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $9,772.37 | Facility | None | $870.96 | $2,691.53 | $9,772.37 |
Martin's Point Setting Facility Modifier None Typical Low $489.78 Median $2,570.40 Typical High $8,317.64 | Facility | None | $489.78 | $2,570.40 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | None | $323.59 | $416.87 | $489.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $162.18 | $208.93 | $245.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $64.57 | $83.18 | $97.72 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $316.23 Typical High $363.08 | Professional | 54 · Surgery only | $245.47 | $316.23 | $363.08 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $63.10 Typical High $72.44 | Professional | 55 · Aftercare only | $48.98 | $63.10 | $72.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $41.69 Typical High $48.98 | Professional | 56 · Pre-op care only | $32.36 | $41.69 | $48.98 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $295.12 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $229.09 | $295.12 | $338.84 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $977.24 | Professional | None | $234.42 | $234.42 | $977.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $1,071.52 Typical High $2,511.89 | Facility | None | $371.54 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $457.09 | Professional | None | $354.81 | $446.68 | $457.09 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,570.88 | Facility | None | $812.83 | $1,318.26 | $4,570.88 |
United Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $707.95 | Professional | None | $371.54 | $467.74 | $707.95 |
Where Pennsylvania sits
The same service costs 6.0 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
$437
AK $1,778TX $295
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.