How much rates vary
Facilitymedian $234 · 10th to 90th $81 to $6,310Professionalmedian $251 · 10th to 90th $126 to $372
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 $147.91 Median $691.83 Typical High $8,317.64 | Facility | None | $147.91 | $691.83 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $371.54 | Professional | None | $125.89 | $257.04 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $109.65 Typical High $186.21 | Professional | 52 · Reduced service | $63.10 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $43.65 Typical High $74.13 | Professional | 53 · Discontinued | $25.12 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $165.96 Typical High $281.84 | Professional | 54 · Surgery only | $95.50 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $33.11 Typical High $56.23 | Professional | 55 · Aftercare only | $19.05 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $21.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $12.59 | $21.88 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $154.88 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $89.13 | $154.88 | $263.03 |
AmeriHealth Setting Facility Modifier None Typical Low $707.95 Median $7,943.28 Typical High $12,022.64 | Facility | None | $707.95 | $7,943.28 | $12,022.64 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $56,234.13 | Professional | None | $204.17 | $223.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $269.15 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $257.04 | $269.15 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $223.87 | Facility | None | $50.12 | $120.23 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $457.09 | Professional | None | $120.23 | $251.19 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $645.65 | Professional | None | $478.63 | $645.65 | $645.65 |
Geisinger Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $234.42 | Facility | None | $107.15 | $134.90 | $234.42 |
Geisinger Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $616.60 | Professional | None | $162.18 | $363.08 | $616.60 |
Highmark BCBS Setting Facility Modifier None Typical Low $199.53 Median $467.74 Typical High $707.95 | Facility | None | $199.53 | $467.74 | $707.95 |
Highmark BCBS Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $380.19 | Professional | None | $141.25 | $218.78 | $380.19 |
Independence Blue Cross Setting Facility Modifier None Typical Low $288.40 Median $5,495.41 Typical High $12,022.64 | Facility | None | $288.40 | $5,495.41 | $12,022.64 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $691.83 Typical High $8,317.64 | Facility | None | $147.91 | $691.83 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $371.54 | Professional | None | $125.89 | $257.04 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $109.65 Typical High $186.21 | Professional | 52 · Reduced service | $63.10 | $109.65 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $43.65 Typical High $74.13 | Professional | 53 · Discontinued | $25.12 | $43.65 | $74.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $165.96 Typical High $281.84 | Professional | 54 · Surgery only | $95.50 | $165.96 | $281.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $33.11 Typical High $56.23 | Professional | 55 · Aftercare only | $19.05 | $33.11 | $56.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $21.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $12.59 | $21.88 | $37.15 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $154.88 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $89.13 | $154.88 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $501.19 | Professional | None | $245.47 | $245.47 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $117.49 Median $199.53 Typical High $331.13 | Facility | None | $117.49 | $199.53 | $331.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $331.13 | Professional | None | $138.04 | $257.04 | $331.13 |
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 $125.89 Median $229.09 Typical High $371.54 | Professional | None | $125.89 | $229.09 | $371.54 |
Where Pennsylvania sits
The same service costs 3.6 times more in Wisconsin 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· 36th of 51
$251
WI $603KY $166
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.