How much rates vary
Facilitymedian $2,818 · 10th to 90th $575 to $6,761Professionalmedian $562 · 10th to 90th $324 to $832
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 $588.84 Median $2,951.21 Typical High $8,511.38 | Facility | None | $588.84 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $562.34 Typical High $660.69 | Professional | None | $316.23 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $275.42 Typical High $323.59 | Professional | 52 · Reduced service | $158.49 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $109.65 Typical High $131.83 | Professional | 53 · Discontinued | $63.10 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $234.42 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $47.86 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $54.95 Typical High $66.07 | Professional | 56 · Pre-op care only | $31.62 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $389.05 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $218.78 | $389.05 | $457.09 |
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 $512.86 Median $562.34 Typical High $56,234.13 | Professional | None | $512.86 | $562.34 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $436.52 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $416.87 | $436.52 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,187.76 Typical High $4,897.79 | Facility | None | $478.63 | $2,187.76 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $1,023.29 | Professional | None | $338.84 | $588.84 | $1,023.29 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | None | $812.83 | $1,071.52 | $1,071.52 |
Geisinger Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $6,456.54 | Facility | None | $2,951.21 | $3,630.78 | $6,456.54 |
Geisinger Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $1,288.25 | Professional | None | $398.11 | $741.31 | $1,288.25 |
Martin's Point Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $8,317.64 | Facility | None | $660.69 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $316.23 Median $562.34 Typical High $660.69 | Professional | None | $316.23 | $562.34 | $660.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $158.49 | $269.15 | $323.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $63.10 | $107.15 | $131.83 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $407.38 Typical High $489.78 | Professional | 54 · Surgery only | $234.42 | $407.38 | $489.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $81.28 Typical High $97.72 | Professional | 55 · Aftercare only | $47.86 | $81.28 | $97.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $53.70 Typical High $66.07 | Professional | 56 · Pre-op care only | $31.62 | $53.70 | $66.07 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $380.19 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $218.78 | $380.19 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,412.54 | Professional | None | $407.38 | $407.38 | $1,412.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $1,096.48 Typical High $2,511.89 | Facility | None | $371.54 | $1,096.48 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $346.74 Median $575.44 Typical High $602.56 | Professional | None | $346.74 | $575.44 | $602.56 |
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 $363.08 Median $588.84 Typical High $851.14 | Professional | None | $363.08 | $588.84 | $851.14 |
Where Pennsylvania sits
The same service costs 4.9 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· 39th of 51
$575
AK $1,862TX $380
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.