How much rates vary
Facilitymedian $891 · 10th to 90th $490 to $4,365Professionalmedian $646 · 10th to 90th $501 to $851
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 $645.65 Median $2,951.21 Typical High $8,511.38 | Facility | None | $645.65 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $758.58 | Professional | None | $537.03 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $323.59 Typical High $380.19 | Professional | 52 · Reduced service | $269.15 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $128.82 Typical High $151.36 | Professional | 53 · Discontinued | $107.15 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $478.63 Typical High $562.34 | Professional | 54 · Surgery only | $398.11 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | 55 · Aftercare only | $79.43 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $64.57 Typical High $75.86 | Professional | 56 · Pre-op care only | $53.70 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $446.68 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $371.54 | $446.68 | $524.81 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $56,234.13 | Professional | None | $851.14 | $912.01 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $489.78 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $478.63 | $489.78 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,348.96 | Facility | None | $478.63 | $741.31 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $1,148.15 | Professional | None | $501.19 | $616.60 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,230.27 | Professional | None | $933.25 | $1,230.27 | $1,230.27 |
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 $489.78 Median $794.33 Typical High $1,230.27 | Professional | None | $489.78 | $794.33 | $1,230.27 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $724.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $758.58 | Professional | None | $537.03 | $645.65 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $323.59 Typical High $380.19 | Professional | 52 · Reduced service | $269.15 | $323.59 | $380.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $128.82 Typical High $151.36 | Professional | 53 · Discontinued | $107.15 | $128.82 | $151.36 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $478.63 Typical High $562.34 | Professional | 54 · Surgery only | $398.11 | $478.63 | $562.34 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | 55 · Aftercare only | $79.43 | $95.50 | $112.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $64.57 Typical High $75.86 | Professional | 56 · Pre-op care only | $53.70 | $64.57 | $75.86 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $446.68 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $371.54 | $446.68 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,318.26 | Professional | None | $389.05 | $389.05 | $1,318.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $426.58 Median $1,071.52 Typical High $2,511.89 | Facility | None | $426.58 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $691.83 | Professional | None | $426.58 | $501.19 | $691.83 |
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 $524.81 Median $691.83 Typical High $1,000.00 | Professional | None | $524.81 | $691.83 | $1,000.00 |
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
$646
AK $2,399TX $427
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.