How much rates vary
Facilitymedian $1,479 · 10th to 90th $427 to $4,898Professionalmedian $324 · 10th to 90th $245 to $437
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 $389.05 Median $2,754.23 Typical High $8,317.64 | Facility | None | $389.05 | $2,754.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $389.05 | Professional | None | $245.47 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $123.03 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $48.98 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $251.19 Typical High $295.12 | Professional | 54 · Surgery only | $186.21 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $33.11 Typical High $38.90 | Professional | 56 · Pre-op care only | $24.55 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $234.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $173.78 | $234.42 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $467.74 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $288.40 | $467.74 | $588.84 |
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 $251.19 Median $323.59 Typical High $512.86 | Professional | None | $251.19 | $323.59 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $794.33 | Professional | None | $436.52 | $602.56 | $794.33 |
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 $257.04 Median $363.08 Typical High $630.96 | Professional | None | $257.04 | $363.08 | $630.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $7,762.47 | Facility | None | $1,995.26 | $1,995.26 | $7,762.47 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $2,570.40 Typical High $8,317.64 | Facility | None | $389.05 | $2,570.40 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $389.05 | Professional | None | $245.47 | $338.84 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $123.03 | $165.96 | $194.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $48.98 | $66.07 | $77.62 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $251.19 Typical High $295.12 | Professional | 54 · Surgery only | $186.21 | $251.19 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $37.15 | $50.12 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $33.11 Typical High $38.90 | Professional | 56 · Pre-op care only | $24.55 | $33.11 | $38.90 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $234.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $173.78 | $234.42 | $275.42 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $707.95 | Professional | None | $309.03 | $323.59 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $1,071.52 Typical High $2,511.89 | Facility | None | $245.47 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $354.81 | Professional | None | $245.47 | $302.00 | $354.81 |
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 $234.42 Median $316.23 Typical High $501.19 | Professional | None | $234.42 | $316.23 | $501.19 |
Where Pennsylvania sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 42nd of 51
$324
AK $1,072NJ $263
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.