How much rates vary
Facilitymedian $1,778 · 10th to 90th $676 to $6,166Professionalmedian $589 · 10th to 90th $457 to $794
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 $676.08 Median $4,786.30 Typical High $8,511.38 | Facility | None | $676.08 | $4,786.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $676.08 | Professional | None | $436.52 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $218.78 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $87.10 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $436.52 Typical High $501.19 | Professional | 54 · Surgery only | $331.13 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $89.13 Typical High $100.00 | Professional | 55 · Aftercare only | $66.07 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $43.65 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $407.38 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $309.03 | $407.38 | $467.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $3,981.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $56,234.13 | Professional | None | $707.95 | $776.25 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $467.74 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $446.68 | $467.74 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,584.89 Typical High $2,818.38 | Facility | None | $616.60 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,023.29 | Professional | None | $467.74 | $630.96 | $1,023.29 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Professional | None | $851.14 | $1,096.48 | $1,096.48 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,467.37 | Facility | None | $1,584.89 | $1,995.26 | $3,467.37 |
Geisinger Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $1,380.38 | Professional | None | $446.68 | $691.83 | $1,380.38 |
Martin's Point Setting Facility Modifier None Typical Low $676.08 Median $4,570.88 Typical High $8,511.38 | Facility | None | $676.08 | $4,570.88 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $676.08 | Professional | None | $436.52 | $588.84 | $676.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $218.78 | $295.12 | $338.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $87.10 | $117.49 | $134.90 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $436.52 Typical High $501.19 | Professional | 54 · Surgery only | $331.13 | $436.52 | $501.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $89.13 Typical High $100.00 | Professional | 55 · Aftercare only | $66.07 | $89.13 | $100.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $43.65 | $58.88 | $67.61 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $407.38 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $309.03 | $407.38 | $467.74 |
Oscar Health Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,380.38 | Professional | None | $758.58 | $776.25 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $3,548.13 | Facility | None | $588.84 | $1,548.82 | $3,548.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $676.08 | Professional | None | $478.63 | $630.96 | $676.08 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,466.84 | Facility | None | $812.83 | $1,318.26 | $4,466.84 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $933.25 | Professional | None | $501.19 | $660.69 | $933.25 |
Where Pennsylvania sits
The same service costs 5.8 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· 45th of 51
$603
AK $2,455TX $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.