How much rates vary
Facilitymedian $2,239 · 10th to 90th $813 to $7,762Professionalmedian $631 · 10th to 90th $490 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 $660.69 Median $5,370.32 Typical High $10,000.00 | Facility | None | $660.69 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $660.69 | Professional | None | $478.63 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $239.88 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $95.50 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $426.58 Typical High $489.78 | Professional | 54 · Surgery only | $354.81 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $85.11 Typical High $97.72 | Professional | 55 · Aftercare only | $70.79 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $47.86 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $398.11 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $331.13 | $398.11 | $457.09 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $446.68 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $436.52 | $446.68 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,137.96 Typical High $4,168.69 | Facility | None | $954.99 | $2,137.96 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,096.48 | Professional | None | $512.86 | $691.83 | $1,096.48 |
Emblem Health Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,096.48 | Professional | None | $831.76 | $1,096.48 | $1,096.48 |
Geisinger Setting Facility Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $4,570.88 | Facility | None | $2,089.30 | $2,630.27 | $4,570.88 |
Geisinger Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,548.82 | Professional | None | $616.60 | $812.83 | $1,548.82 |
Martin's Point Setting Facility Modifier None Typical Low $660.69 Median $4,897.79 Typical High $10,964.78 | Facility | None | $660.69 | $4,897.79 | $10,964.78 |
Martin's Point Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $660.69 | Professional | None | $478.63 | $575.44 | $660.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $239.88 | $281.84 | $331.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $95.50 | $114.82 | $131.83 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $426.58 Typical High $489.78 | Professional | 54 · Surgery only | $354.81 | $426.58 | $489.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $85.11 Typical High $97.72 | Professional | 55 · Aftercare only | $70.79 | $85.11 | $97.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $47.86 | $57.54 | $66.07 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $398.11 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $331.13 | $398.11 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,513.56 | Professional | None | $707.95 | $707.95 | $1,513.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $616.60 Median $2,884.03 Typical High $6,606.93 | Facility | None | $616.60 | $2,884.03 | $6,606.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $741.31 | Professional | None | $512.86 | $616.60 | $741.31 |
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 $562.34 Median $691.83 Typical High $1,023.29 | Professional | None | $562.34 | $691.83 | $1,023.29 |
Where Pennsylvania sits
The same service costs 6.2 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· 42nd of 51
$661
AK $2,570TX $417
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.