How much rates vary
Facilitymedian $209 · 10th to 90th $78 to $1,698Professionalmedian $295 · 10th to 90th $240 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 $302.00 Median $1,584.89 Typical High $8,511.38 | Facility | None | $302.00 | $1,584.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $380.19 | Professional | None | $257.04 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $213.80 Typical High $239.88 | Professional | 54 · Surgery only | $194.98 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $47.86 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.70 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $199.53 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $181.97 | $199.53 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
AmeriHealth Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Professional | None | $316.23 | $316.23 | $354.81 |
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 $426.58 Median $457.09 Typical High $56,234.13 | Professional | None | $426.58 | $457.09 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $223.87 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $213.80 | $223.87 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $147.91 Typical High $275.42 | Facility | None | $50.12 | $147.91 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $512.86 | Professional | None | $218.78 | $281.84 | $512.86 |
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 $229.09 Median $371.54 Typical High $575.44 | Professional | None | $229.09 | $371.54 | $575.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $616.60 Typical High $1,202.26 | Facility | None | $295.12 | $616.60 | $1,202.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $380.19 | Professional | None | $302.00 | $331.13 | $380.19 |
Independence Blue Cross Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $354.81 | Professional | None | $316.23 | $316.23 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $1,584.89 Typical High $8,511.38 | Facility | None | $302.00 | $1,584.89 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $371.54 | Professional | None | $257.04 | $288.40 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $141.25 | $158.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $56.23 | $64.57 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $208.93 Typical High $239.88 | Professional | 54 · Surgery only | $194.98 | $208.93 | $239.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $47.86 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $47.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.70 | $28.18 | $31.62 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $194.98 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $181.97 | $194.98 | $223.87 |
Oscar Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $524.81 | Professional | None | $251.19 | $251.19 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $309.03 | Facility | None | $158.49 | $239.88 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $302.00 | Professional | None | $218.78 | $239.88 | $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 $234.42 Median $309.03 Typical High $467.74 | Professional | None | $234.42 | $309.03 | $467.74 |
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· 39th of 51
$295
AK $1,230TX $219
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.