How much rates vary
Facilitymedian $331 · 10th to 90th $100 to $3,020Professionalmedian $302 · 10th to 90th $257 to $417
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 $323.59 Median $2,137.96 Typical High $8,317.64 | Facility | None | $323.59 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $323.59 | Professional | None | $269.15 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $134.90 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | 54 · Surgery only | $199.53 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $43.65 Typical High $48.98 | Professional | 55 · Aftercare only | $39.81 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.84 Typical High $32.36 | Professional | 56 · Pre-op care only | $26.92 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $186.21 | $204.17 | $229.09 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $223.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $218.78 | $223.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $562.34 | Facility | None | $144.54 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $537.03 | Professional | None | $239.88 | $302.00 | $537.03 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | None | $436.52 | $588.84 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $288.40 | Facility | None | $131.83 | $165.96 | $288.40 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $602.56 | Professional | None | $239.88 | $389.05 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $426.58 | Professional | None | $275.42 | $323.59 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $323.59 | Professional | None | $269.15 | $288.40 | $323.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $134.90 | $144.54 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $57.54 | $64.57 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | 54 · Surgery only | $199.53 | $218.78 | $245.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $43.65 Typical High $48.98 | Professional | 55 · Aftercare only | $39.81 | $43.65 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.84 Typical High $32.36 | Professional | 56 · Pre-op care only | $26.92 | $28.84 | $32.36 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $186.21 | $204.17 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $562.34 | Professional | None | $309.03 | $309.03 | $562.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $812.83 Typical High $1,862.09 | Facility | None | $251.19 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $302.00 | Professional | None | $251.19 | $295.12 | $302.00 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $489.78 | Professional | None | $263.03 | $316.23 | $489.78 |
Where Pennsylvania sits
The same service costs 5.5 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· 43rd of 51
$302
AK $1,230TX $224
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.