How much rates vary
Facilitymedian $562 · 10th to 90th $178 to $4,365Professionalmedian $209 · 10th to 90th $135 to $275
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 $251.19 Median $2,344.23 Typical High $8,317.64 | Facility | None | $251.19 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $251.19 | Professional | None | $131.83 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $66.07 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $26.30 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $154.88 Typical High $190.55 | Professional | 54 · Surgery only | $100.00 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $30.90 Typical High $38.02 | Professional | 55 · Aftercare only | $19.95 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $20.42 Typical High $25.12 | Professional | 56 · Pre-op care only | $13.18 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $144.54 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $93.33 | $144.54 | $177.83 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $173.78 | $295.12 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $562.34 | Facility | None | $177.83 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $323.59 | Professional | None | $134.90 | $213.80 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $501.19 | Professional | None | $269.15 | $380.19 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $354.81 | Facility | None | $162.18 | $199.53 | $354.81 |
Geisinger Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $398.11 | Professional | None | $162.18 | $239.88 | $398.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $251.19 | Professional | None | $131.83 | $218.78 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $107.15 Typical High $125.89 | Professional | 52 · Reduced service | $66.07 | $107.15 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $42.66 Typical High $50.12 | Professional | 53 · Discontinued | $26.30 | $42.66 | $50.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $158.49 Typical High $190.55 | Professional | 54 · Surgery only | $100.00 | $158.49 | $190.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $31.62 Typical High $38.02 | Professional | 55 · Aftercare only | $19.95 | $31.62 | $38.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $21.38 Typical High $25.12 | Professional | 56 · Pre-op care only | $13.18 | $21.38 | $25.12 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $147.91 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $93.33 | $147.91 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $478.63 | Professional | None | $213.80 | $223.87 | $478.63 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $812.83 Typical High $1,862.09 | Facility | None | $165.96 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $223.87 | Professional | None | $141.25 | $223.87 | $223.87 |
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 $125.89 Median $204.17 Typical High $302.00 | Professional | None | $125.89 | $204.17 | $302.00 |
Where Pennsylvania sits
The same service costs 3.5 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· 39th of 51
$214
AK $575NJ $166
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.