How much rates vary
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 $831.76 Median $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,621.81 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $3,981.07 | Professional | None | $1,949.84 | $3,090.30 | $3,981.07 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,511.89 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,511.89 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $676.08 Typical High $2,290.87 | Facility | None | $120.23 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,862.09 | $2,187.76 | $3,981.07 |
Emblem Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,235.94 | Professional | None | $2,884.03 | $2,884.03 | $3,235.94 |
Geisinger Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,691.53 | $4,466.84 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,344.23 | $2,344.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,737.80 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,621.81 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $4,168.69 | Professional | None | $25.12 | $25.12 | $4,168.69 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,905.46 | $2,041.74 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,905.46 | $1,995.26 | $2,041.74 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,819.70 | $2,511.89 | $4,073.80 |
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· 39th of 51
$2,138
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.