How much rates vary
Facilitymedian $166 · 10th to 90th $78 to $3,467Professionalmedian $115 · 10th to 90th $83 to $155
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 $177.83 Median $2,137.96 Typical High $8,128.31 | Facility | None | $177.83 | $2,137.96 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $128.82 | Professional | None | $83.18 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $81.28 Typical High $95.50 | Professional | 54 · Surgery only | $63.10 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $12.88 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $58.88 | $75.86 | $89.13 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $104.71 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $102.33 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $112.20 Typical High $204.17 | Facility | None | $50.12 | $112.20 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $199.53 | Professional | None | $77.62 | $107.15 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $257.04 | Professional | None | $190.55 | $257.04 | $257.04 |
Geisinger Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $213.80 | Facility | None | $97.72 | $120.23 | $213.80 |
Geisinger Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $239.88 | Professional | None | $75.86 | $141.25 | $239.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $870.96 | Facility | None | $426.58 | $691.83 | $870.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $2,137.96 Typical High $7,244.36 | Facility | None | $208.93 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $128.82 | Professional | None | $83.18 | $109.65 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $53.70 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $21.38 | $25.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $81.28 Typical High $95.50 | Professional | 54 · Surgery only | $63.10 | $81.28 | $95.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $12.88 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $12.88 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 78 · Unplanned return to OR | $58.88 | $75.86 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $208.93 | Professional | None | $151.36 | $165.96 | $208.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $436.52 | Facility | None | $120.23 | $190.55 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $154.88 | Professional | None | $91.20 | $138.04 | $154.88 |
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 $85.11 Median $112.20 Typical High $177.83 | Professional | None | $85.11 | $112.20 | $177.83 |
Where Pennsylvania sits
The same service costs 13.1 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $2,944MD $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.