How much rates vary
Facilitymedian $933 · 10th to 90th $380 to $4,074Professionalmedian $229 · 10th to 90th $145 to $316
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 $281.84 Median $1,995.26 Typical High $7,943.28 | Facility | None | $281.84 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $281.84 | Professional | None | $138.04 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $114.82 Typical High $141.25 | Professional | 52 · Reduced service | $69.18 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $28.18 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $173.78 Typical High $213.80 | Professional | 54 · Surgery only | $104.71 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $34.67 Typical High $42.66 | Professional | 55 · Aftercare only | $20.89 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $22.91 Typical High $28.18 | Professional | 56 · Pre-op care only | $13.80 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $162.18 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $97.72 | $162.18 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $8,709.64 | Facility | None | $3,981.07 | $4,365.16 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | None | $204.17 | $245.47 | $245.47 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $213.80 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $204.17 | $213.80 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $724.44 Typical High $1,412.54 | Facility | None | $346.74 | $724.44 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $354.81 | Professional | None | $144.54 | $234.42 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $467.74 | Professional | None | $346.74 | $467.74 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,584.89 | Facility | None | $724.44 | $891.25 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $489.78 | Professional | None | $169.82 | $295.12 | $489.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $4,073.80 Typical High $9,332.54 | Facility | None | $1,698.24 | $4,073.80 | $9,332.54 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $1,995.26 Typical High $6,606.93 | Facility | None | $295.12 | $1,995.26 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $281.84 | Professional | None | $138.04 | $239.88 | $281.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $112.20 Typical High $141.25 | Professional | 52 · Reduced service | $69.18 | $112.20 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $28.18 | $44.67 | $56.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $169.82 Typical High $213.80 | Professional | 54 · Surgery only | $104.71 | $169.82 | $213.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $33.88 Typical High $42.66 | Professional | 55 · Aftercare only | $20.89 | $33.88 | $42.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $22.39 Typical High $28.18 | Professional | 56 · Pre-op care only | $13.80 | $22.39 | $28.18 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $158.49 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $97.72 | $158.49 | $199.53 |
Oscar Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $501.19 | Professional | None | $181.97 | $181.97 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $812.83 Typical High $1,862.09 | Facility | None | $173.78 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $257.04 | Professional | None | $151.36 | $229.09 | $257.04 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,630.78 | Facility | None | $416.87 | $724.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $331.13 | Professional | None | $151.36 | $229.09 | $331.13 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 38th of 51
$240
AK $759KY $170
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.