How much rates vary
Facilitymedian $603 · 10th to 90th $105 to $5,012Professionalmedian $182 · 10th to 90th $110 to $263
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 $186.21 Median $3,630.78 Typical High $8,511.38 | Facility | None | $186.21 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $199.53 | Professional | None | $109.65 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $53.70 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $123.03 Typical High $151.36 | Professional | 54 · Surgery only | $79.43 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $26.30 Typical High $30.20 | Professional | 55 · Aftercare only | $16.22 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $17.38 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.72 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $114.82 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $74.13 | $114.82 | $141.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $295.12 | Professional | None | $199.53 | $199.53 | $295.12 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $234.42 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $154.88 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $309.03 | Professional | None | $120.23 | $186.21 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | None | $346.74 | $346.74 | $354.81 |
Geisinger Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $354.81 | Professional | None | $125.89 | $218.78 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $3,630.78 Typical High $8,709.64 | Facility | None | $199.53 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $199.53 | Professional | None | $107.15 | $173.78 | $199.53 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $51.29 | $81.28 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $20.42 | $32.36 | $40.74 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $123.03 Typical High $151.36 | Professional | 54 · Surgery only | $77.62 | $123.03 | $151.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $26.30 Typical High $30.20 | Professional | 55 · Aftercare only | $15.49 | $26.30 | $30.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $17.38 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.23 | $17.38 | $19.95 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $114.82 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $72.44 | $114.82 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $407.38 | Professional | None | $154.88 | $162.18 | $407.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $416.87 | Facility | None | $144.54 | $223.87 | $416.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $223.87 | Professional | None | $109.65 | $177.83 | $223.87 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,630.27 | Facility | None | $416.87 | $724.44 | $2,630.27 |
United Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $316.23 | Professional | None | $109.65 | $181.97 | $316.23 |
Where Pennsylvania sits
The same service costs 3.8 times more in Wisconsin than in Hawaii. 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
$186
WI $589HI $155
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.