How much rates vary
Facilitymedian $1,047 · 10th to 90th $537 to $7,244Professionalmedian $741 · 10th to 90th $589 to $977
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 $741.31 Median $5,495.41 Typical High $10,471.29 | Facility | None | $741.31 | $5,495.41 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $831.76 | Professional | None | $575.44 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $288.40 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $114.82 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $426.58 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $72.44 Typical High $83.18 | Professional | 56 · Pre-op care only | $57.54 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $398.11 | $501.19 | $588.84 |
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 $933.25 Median $1,023.29 Typical High $56,234.13 | Professional | None | $933.25 | $1,023.29 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $562.34 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $549.54 | $562.34 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,819.70 | Facility | None | $676.08 | $1,023.29 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,318.26 | Professional | None | $602.56 | $741.31 | $1,318.26 |
Emblem Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,348.96 | $1,348.96 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $794.33 Typical High $1,412.54 | Facility | None | $645.65 | $794.33 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,659.59 | Professional | None | $691.83 | $912.01 | $1,659.59 |
Highmark BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $5,248.07 Typical High $10,964.78 | Facility | None | $831.76 | $5,248.07 | $10,964.78 |
Martin's Point Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $831.76 | Professional | None | $575.44 | $724.44 | $831.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $288.40 | $363.08 | $416.87 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $114.82 | $144.54 | $165.96 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $426.58 | $537.03 | $630.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $125.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $72.44 Typical High $83.18 | Professional | 56 · Pre-op care only | $57.54 | $72.44 | $83.18 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $398.11 | $501.19 | $588.84 |
Oscar Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,584.89 | Professional | None | $776.25 | $776.25 | $1,584.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $645.65 Median $2,884.03 Typical High $6,606.93 | Facility | None | $645.65 | $2,884.03 | $6,606.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $794.33 | Professional | None | $630.96 | $776.25 | $794.33 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,467.37 | Facility | None | $416.87 | $724.44 | $3,467.37 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,148.15 | Professional | None | $616.60 | $776.25 | $1,148.15 |
Where Pennsylvania sits
The same service costs 5.6 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
$741
AK $2,630TX $468
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.