How much rates vary
Facilitymedian $1,288 · 10th to 90th $550 to $4,467Professionalmedian $1,413 · 10th to 90th $1,096 to $2,042
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 $1,096.48 Median $1,174.90 Typical High $1,479.11 | Facility | None | $1,096.48 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,288.25 | $1,479.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $524.81 | $645.65 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $257.04 Typical High $295.12 | Professional | 53 · Discontinued | $208.93 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $194.98 Typical High $223.87 | Professional | 55 · Aftercare only | $158.49 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $128.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $104.71 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $741.31 | $912.01 | $1,023.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $12,022.64 Typical High $56,234.13 | Facility | None | $3,981.07 | $12,022.64 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,511.89 | $2,511.89 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,047.13 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,047.13 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,445.44 | Facility | None | $501.19 | $794.33 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,479.11 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,570.40 | $2,570.40 |
Geisinger Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,513.56 | Facility | None | $691.83 | $870.96 | $1,513.56 |
Geisinger Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,513.56 | $1,995.26 | $3,630.78 |
Martin's Point Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Facility | None | $1,174.90 | $1,174.90 | $1,479.11 |
Martin's Point Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,288.25 | $1,479.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $645.65 Typical High $741.31 | Professional | 52 · Reduced service | $524.81 | $645.65 | $741.31 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $257.04 Typical High $295.12 | Professional | 53 · Discontinued | $208.93 | $257.04 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $194.98 Typical High $223.87 | Professional | 55 · Aftercare only | $158.49 | $194.98 | $223.87 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $128.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $104.71 | $128.82 | $147.91 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $741.31 | $912.01 | $1,023.29 |
Oscar Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,659.59 | $1,995.26 | $3,235.94 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $524.81 Typical High $2,041.74 | Facility | None | $223.87 | $524.81 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,412.54 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,309.57 | Facility | None | $1,380.38 | $2,398.83 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,548.82 | $2,344.23 |
Where Pennsylvania sits
The same service costs 5.1 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· 44th of 51
$1,413
AK $4,677TX $912
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.