How much rates vary
Facilitymedian $2,188 · 10th to 90th $537 to $6,457Professionalmedian $407 · 10th to 90th $309 to $589
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 $489.78 Median $2,951.21 Typical High $8,511.38 | Facility | None | $489.78 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $489.78 | Professional | None | $309.03 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $154.88 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $309.03 Typical High $371.54 | Professional | 54 · Surgery only | $229.09 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $61.66 Typical High $74.13 | Professional | 55 · Aftercare only | $45.71 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $41.69 Typical High $48.98 | Professional | 56 · Pre-op care only | $30.90 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $288.40 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $213.80 | $288.40 | $346.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $389.05 Median $758.58 Typical High $758.58 | Professional | None | $389.05 | $758.58 | $758.58 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $588.84 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $354.81 | $588.84 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,187.76 Typical High $4,897.79 | Facility | None | $478.63 | $2,187.76 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $630.96 | Professional | None | $309.03 | $407.38 | $630.96 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,023.29 | Professional | None | $562.34 | $776.25 | $1,023.29 |
Geisinger Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $6,456.54 | Facility | None | $2,951.21 | $3,630.78 | $6,456.54 |
Geisinger Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $794.33 | Professional | None | $331.13 | $467.74 | $794.33 |
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 $309.03 Median $426.58 Typical High $489.78 | Professional | None | $309.03 | $426.58 | $489.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $154.88 | $208.93 | $245.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $83.18 | $97.72 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $309.03 Typical High $371.54 | Professional | 54 · Surgery only | $229.09 | $309.03 | $371.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $61.66 Typical High $74.13 | Professional | 55 · Aftercare only | $45.71 | $61.66 | $74.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $41.69 Typical High $48.98 | Professional | 56 · Pre-op care only | $30.90 | $41.69 | $48.98 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $288.40 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $213.80 | $288.40 | $346.74 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $891.25 | Professional | None | $407.38 | $426.58 | $891.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $1,071.52 Typical High $2,511.89 | Facility | None | $323.59 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $436.52 | Professional | None | $323.59 | $380.19 | $436.52 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $6,025.60 | Facility | None | $812.83 | $1,318.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $630.96 | Professional | None | $295.12 | $407.38 | $630.96 |
Where Pennsylvania sits
The same service costs 4.0 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· 41st of 51
$407
AK $1,318NJ $331
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.