How much rates vary
Facilitymedian $1,288 · 10th to 90th $550 to $4,677Professionalmedian $1,585 · 10th to 90th $1,230 to $2,399
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 $1,202.26 Median $1,288.25 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,288.25 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,412.54 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $707.95 Typical High $794.33 | Professional | 52 · Reduced service | $575.44 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $229.09 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $173.78 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $141.25 Typical High $162.18 | Professional | 56 · Pre-op care only | $114.82 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $977.24 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $812.83 | $977.24 | $1,122.02 |
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 $1,584.89 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,584.89 | $1,659.59 | $2,754.23 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,148.15 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,148.15 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,479.11 | Facility | None | $501.19 | $812.83 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,621.81 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,754.23 | $2,754.23 |
Geisinger Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,548.82 | Facility | None | $707.95 | $891.25 | $1,548.82 |
Geisinger Setting Professional Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,137.96 | $3,981.07 |
Martin's Point Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Facility | None | $1,288.25 | $1,288.25 | $1,621.81 |
Martin's Point Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,412.54 | $1,621.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $707.95 Typical High $794.33 | Professional | 52 · Reduced service | $575.44 | $707.95 | $794.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $229.09 | $281.84 | $323.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $173.78 | $213.80 | $239.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $141.25 Typical High $162.18 | Professional | 56 · Pre-op care only | $114.82 | $141.25 | $162.18 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $977.24 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $812.83 | $977.24 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,137.96 | $3,388.44 |
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 $1,258.93 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,548.82 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,380.38 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,348.96 | $1,659.59 | $2,570.40 |
Where Pennsylvania sits
The same service costs 5.5 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
$1,585
AK $5,129TX $933
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.