How much rates vary
Facilitymedian $589 · 10th to 90th $141 to $4,898Professionalmedian $151 · 10th to 90th $102 to $214
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 $204.17 Median $2,691.53 Typical High $8,317.64 | Facility | None | $204.17 | $2,691.53 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $204.17 | Professional | None | $102.33 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $75.86 Typical High $100.00 | Professional | 52 · Reduced service | $51.29 | $75.86 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $30.90 Typical High $40.74 | Professional | 53 · Discontinued | $20.42 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $114.82 Typical High $151.36 | Professional | 54 · Surgery only | $75.86 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.91 Typical High $30.20 | Professional | 55 · Aftercare only | $15.14 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $15.49 Typical High $20.42 | Professional | 56 · Pre-op care only | $10.23 | $15.49 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $107.15 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $70.79 | $107.15 | $141.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $229.09 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $144.54 | $229.09 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $380.19 Typical High $794.33 | Facility | None | $144.54 | $380.19 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $257.04 | Professional | None | $102.33 | $151.36 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $389.05 | Professional | None | $223.87 | $309.03 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $288.40 | Facility | None | $131.83 | $165.96 | $288.40 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $309.03 | Professional | None | $114.82 | $181.97 | $309.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $16,218.10 | Facility | None | $1,122.02 | $1,122.02 | $16,218.10 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $2,570.40 Typical High $8,317.64 | Facility | None | $204.17 | $2,570.40 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $204.17 | Professional | None | $102.33 | $165.96 | $204.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $75.86 Typical High $100.00 | Professional | 52 · Reduced service | $51.29 | $75.86 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $30.90 Typical High $40.74 | Professional | 53 · Discontinued | $20.42 | $30.90 | $40.74 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $114.82 Typical High $151.36 | Professional | 54 · Surgery only | $75.86 | $114.82 | $151.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.91 Typical High $30.20 | Professional | 55 · Aftercare only | $15.14 | $22.91 | $30.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $15.49 Typical High $20.42 | Professional | 56 · Pre-op care only | $10.23 | $15.49 | $20.42 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $107.15 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $70.79 | $107.15 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $338.84 | Professional | None | $162.18 | $173.78 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $1,071.52 Typical High $2,511.89 | Facility | None | $141.25 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $181.97 | Professional | None | $107.15 | $162.18 | $181.97 |
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 $95.50 Median $147.91 Typical High $229.09 | Professional | None | $95.50 | $147.91 | $229.09 |
Where Pennsylvania sits
The same service costs 3.4 times more in Alaska than in Florida. 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
$155
AK $447FL $132
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.