How much rates vary
Facilitymedian $603 · 10th to 90th $186 to $4,898Professionalmedian $234 · 10th to 90th $155 to $309
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 $275.42 Median $2,818.38 Typical High $8,511.38 | Facility | None | $275.42 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $275.42 | Professional | None | $151.36 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $75.86 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $30.20 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $177.83 Typical High $208.93 | Professional | 54 · Surgery only | $114.82 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $35.48 Typical High $41.69 | Professional | 55 · Aftercare only | $22.91 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $23.44 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.14 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $165.96 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $107.15 | $165.96 | $194.98 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $323.59 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $194.98 | $323.59 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $426.58 Typical High $794.33 | Facility | None | $194.98 | $426.58 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $354.81 | Professional | None | $154.88 | $234.42 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $575.44 | Professional | None | $309.03 | $426.58 | $575.44 |
Geisinger Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $389.05 | Facility | None | $177.83 | $223.87 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $446.68 | Professional | None | $181.97 | $257.04 | $446.68 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $10,964.78 | Facility | None | $3,388.44 | $5,128.61 | $10,964.78 |
Martin's Point Setting Facility Modifier None Typical Low $512.86 Median $2,630.27 Typical High $8,317.64 | Facility | None | $512.86 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $275.42 | Professional | None | $151.36 | $239.88 | $275.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $117.49 Typical High $138.04 | Professional | 52 · Reduced service | $75.86 | $117.49 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $30.20 | $47.86 | $54.95 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $177.83 Typical High $208.93 | Professional | 54 · Surgery only | $114.82 | $177.83 | $208.93 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $35.48 Typical High $41.69 | Professional | 55 · Aftercare only | $22.91 | $35.48 | $41.69 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $23.44 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.14 | $23.44 | $27.54 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $165.96 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $107.15 | $165.96 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $524.81 | Professional | None | $213.80 | $229.09 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $1,071.52 Typical High $2,511.89 | Facility | None | $173.78 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $245.47 | Professional | None | $158.49 | $186.21 | $245.47 |
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 $147.91 Median $229.09 Typical High $338.84 | Professional | None | $147.91 | $229.09 | $338.84 |
Where Pennsylvania sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 37th of 51
$234
AK $646TX $178
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.