How much rates vary
Facilitymedian $977 · 10th to 90th $389 to $5,495Professionalmedian $355 · 10th to 90th $263 to $525
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 $457.09 Median $2,818.38 Typical High $8,511.38 | Facility | None | $457.09 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $501.19 | Professional | None | $275.42 | $380.19 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $138.04 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $72.44 Typical High $102.33 | Professional | 53 · Discontinued | $54.95 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $275.42 Typical High $380.19 | Professional | 54 · Surgery only | $208.93 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $75.86 | Professional | 55 · Aftercare only | $41.69 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $27.54 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $257.04 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $194.98 | $257.04 | $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 $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $524.81 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $371.54 | $524.81 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,023.29 | Facility | None | $407.38 | $588.84 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $602.56 | Professional | None | $239.88 | $323.59 | $602.56 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,122.02 | Professional | None | $616.60 | $851.14 | $1,122.02 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $851.14 | Facility | None | $389.05 | $489.78 | $851.14 |
Geisinger Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $912.01 | Professional | None | $380.19 | $562.34 | $912.01 |
Martin's Point Setting Facility Modifier None Typical Low $501.19 Median $2,818.38 Typical High $8,511.38 | Facility | None | $501.19 | $2,818.38 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $501.19 | Professional | None | $275.42 | $380.19 | $501.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $138.04 | $181.97 | $251.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $72.44 Typical High $102.33 | Professional | 53 · Discontinued | $54.95 | $72.44 | $102.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $275.42 Typical High $380.19 | Professional | 54 · Surgery only | $208.93 | $275.42 | $380.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $75.86 | Professional | 55 · Aftercare only | $41.69 | $54.95 | $75.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $36.31 Typical High $50.12 | Professional | 56 · Pre-op care only | $27.54 | $36.31 | $50.12 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $257.04 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $194.98 | $257.04 | $354.81 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $812.83 | Professional | None | $245.47 | $263.03 | $812.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $457.09 | Facility | None | $177.83 | $338.84 | $457.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $457.09 | Professional | None | $295.12 | $346.74 | $457.09 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,309.57 | Facility | None | $1,380.38 | $2,398.83 | $6,309.57 |
United Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $575.44 | Professional | None | $263.03 | $389.05 | $575.44 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$372
AK $1,259KY $295
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.