How much rates vary
Facilitymedian $355 · 10th to 90th $100 to $3,802Professionalmedian $138 · 10th to 90th $100 to $191
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 $173.78 Median $2,951.21 Typical High $8,511.38 | Facility | None | $173.78 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $173.78 | Professional | None | $100.00 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $72.44 Typical High $87.10 | Professional | 52 · Reduced service | $50.12 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.84 Typical High $34.67 | Professional | 53 · Discontinued | $19.95 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $107.15 Typical High $128.82 | Professional | 54 · Surgery only | $74.13 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $14.79 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.45 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.00 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $100.00 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $69.18 | $100.00 | $120.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | None | $158.49 | $158.49 | $165.96 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $204.17 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $123.03 | $204.17 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $407.38 Typical High $794.33 | Facility | None | $138.04 | $407.38 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $229.09 | Professional | None | $95.50 | $144.54 | $229.09 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $346.74 | Professional | None | $190.55 | $263.03 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $275.42 | Facility | None | $125.89 | $158.49 | $275.42 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $275.42 | Professional | None | $102.33 | $158.49 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $562.34 | Facility | None | $457.09 | $457.09 | $562.34 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $173.78 | Professional | None | $100.00 | $151.36 | $173.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $72.44 Typical High $87.10 | Professional | 52 · Reduced service | $50.12 | $72.44 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.84 Typical High $34.67 | Professional | 53 · Discontinued | $19.95 | $28.84 | $34.67 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $107.15 Typical High $128.82 | Professional | 54 · Surgery only | $74.13 | $107.15 | $128.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $14.79 | $21.38 | $26.30 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.45 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.00 | $14.45 | $17.38 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $100.00 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $69.18 | $100.00 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $309.03 | Professional | None | $147.91 | $154.88 | $309.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $1,071.52 Typical High $2,511.89 | Facility | None | $100.00 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $158.49 | Professional | None | $100.00 | $134.90 | $158.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $199.53 | Professional | None | $91.20 | $138.04 | $199.53 |
Where Pennsylvania sits
The same service costs 9.1 times more in New York than in Delaware. 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.
Physician feeFacility fee
NY $2,759DE $302
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.