How much rates vary
Facilitymedian $1,479 · 10th to 90th $468 to $4,898Professionalmedian $447 · 10th to 90th $339 to $692
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 $562.34 Median $2,818.38 Typical High $8,511.38 | Facility | None | $562.34 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $562.34 | Professional | None | $338.84 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $234.42 Typical High $281.84 | Professional | 52 · Reduced service | $169.82 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $93.33 Typical High $112.20 | Professional | 53 · Discontinued | $67.61 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $346.74 Typical High $426.58 | Professional | 54 · Surgery only | $257.04 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $69.18 Typical High $85.11 | Professional | 55 · Aftercare only | $51.29 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $46.77 Typical High $56.23 | Professional | 56 · Pre-op care only | $33.88 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $323.59 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $239.88 | $323.59 | $398.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $8,709.64 | Facility | None | $3,981.07 | $4,365.16 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $436.52 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $416.87 | $436.52 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,412.54 Typical High $2,398.83 | Facility | None | $478.63 | $1,412.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | None | $331.13 | $446.68 | $724.44 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Geisinger Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,162.28 | Facility | None | $1,445.44 | $1,778.28 | $3,162.28 |
Geisinger Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $870.96 | Professional | None | $407.38 | $616.60 | $870.96 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,630.27 Typical High $8,317.64 | Facility | None | $575.44 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $562.34 | Professional | None | $338.84 | $489.78 | $562.34 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $169.82 | $229.09 | $281.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $67.61 | $91.20 | $112.20 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $338.84 Typical High $426.58 | Professional | 54 · Surgery only | $257.04 | $338.84 | $426.58 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $67.61 Typical High $85.11 | Professional | 55 · Aftercare only | $51.29 | $67.61 | $85.11 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $45.71 Typical High $56.23 | Professional | 56 · Pre-op care only | $33.88 | $45.71 | $56.23 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $316.23 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $239.88 | $316.23 | $398.11 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $977.24 | Professional | None | $446.68 | $446.68 | $977.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $1,071.52 Typical High $2,511.89 | Facility | None | $363.08 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $512.86 | Professional | None | $363.08 | $426.58 | $512.86 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $4,265.80 | Facility | None | $416.87 | $724.44 | $4,265.80 |
United Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $812.83 | Professional | None | $316.23 | $467.74 | $812.83 |
Where Pennsylvania sits
The same service costs 4.4 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· 40th of 51
$501
AK $1,950TX $447
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.