How much rates vary
Facilitymedian $1,380 · 10th to 90th $550 to $4,571Professionalmedian $1,585 · 10th to 90th $1,230 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 $1,230.27 Median $1,348.96 Typical High $1,698.24 | Facility | None | $1,230.27 | $1,348.96 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,513.56 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $758.58 Typical High $851.14 | Professional | 52 · Reduced service | $602.56 | $758.58 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $302.00 Typical High $338.84 | Professional | 53 · Discontinued | $239.88 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $257.04 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $151.36 Typical High $169.82 | Professional | 56 · Pre-op care only | $120.23 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,047.13 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $831.76 | $1,047.13 | $1,202.26 |
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 $1,949.84 Median $2,089.30 Typical High $56,234.13 | Professional | None | $1,949.84 | $2,089.30 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,202.26 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,202.26 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,659.59 | Facility | None | $501.19 | $831.76 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,288.25 | $1,659.59 | $2,818.38 |
Emblem Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,951.21 | $2,951.21 |
Geisinger Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,737.80 | Facility | None | $794.33 | $1,000.00 | $1,737.80 |
Geisinger Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $4,168.69 | Professional | None | $1,698.24 | $2,290.87 | $4,168.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Martin's Point Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,698.24 | Facility | None | $1,348.96 | $1,348.96 | $1,698.24 |
Martin's Point Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,513.56 | $1,698.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $758.58 Typical High $851.14 | Professional | 52 · Reduced service | $602.56 | $758.58 | $851.14 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $302.00 Typical High $338.84 | Professional | 53 · Discontinued | $239.88 | $302.00 | $338.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $257.04 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $257.04 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $151.36 Typical High $169.82 | Professional | 56 · Pre-op care only | $120.23 | $151.36 | $169.82 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,047.13 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $831.76 | $1,047.13 | $1,202.26 |
Oscar Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,905.46 | $2,238.72 | $3,630.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $524.81 Typical High $2,290.87 | Facility | None | $223.87 | $524.81 | $2,290.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,288.25 | $1,621.81 | $2,290.87 |
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 $1,412.54 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,737.80 | $2,630.27 |
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· 45th of 51
$1,585
AK $5,248TX $1,023
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.