How much rates vary
Facilitymedian $2,188 · 10th to 90th $537 to $6,457Professionalmedian $302 · 10th to 90th $245 to $407
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 $354.81 Median $2,818.38 Typical High $8,511.38 | Facility | None | $354.81 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $354.81 | Professional | None | $239.88 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $151.36 Typical High $177.83 | Professional | 52 · Reduced service | $120.23 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $70.79 | Professional | 53 · Discontinued | $47.86 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $229.09 Typical High $269.15 | Professional | 54 · Surgery only | $181.97 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $36.31 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.20 Typical High $35.48 | Professional | 56 · Pre-op care only | $23.99 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $213.80 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $169.82 | $213.80 | $251.19 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $12,022.64 Typical High $56,234.13 | Facility | None | $3,981.07 | $12,022.64 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $416.87 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $257.04 | $416.87 | $501.19 |
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 $251.19 Median $302.00 Typical High $478.63 | Professional | None | $251.19 | $302.00 | $478.63 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $724.44 | Professional | None | $389.05 | $537.03 | $724.44 |
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 $275.42 Median $338.84 Typical High $575.44 | Professional | None | $275.42 | $338.84 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,630.27 Typical High $8,317.64 | Facility | None | $537.03 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $354.81 | Professional | None | $239.88 | $309.03 | $354.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $151.36 Typical High $177.83 | Professional | 52 · Reduced service | $120.23 | $151.36 | $177.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $70.79 | Professional | 53 · Discontinued | $47.86 | $60.26 | $70.79 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $229.09 Typical High $269.15 | Professional | 54 · Surgery only | $181.97 | $229.09 | $269.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $36.31 | $45.71 | $53.70 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.20 Typical High $35.48 | Professional | 56 · Pre-op care only | $23.99 | $30.20 | $35.48 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $213.80 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $169.82 | $213.80 | $251.19 |
Oscar Health Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $645.65 | Professional | None | $354.81 | $371.54 | $645.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $1,071.52 Typical High $2,511.89 | Facility | None | $269.15 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $331.13 | Professional | None | $251.19 | $323.59 | $331.13 |
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 $223.87 Median $295.12 Typical High $457.09 | Professional | None | $223.87 | $295.12 | $457.09 |
Where Pennsylvania sits
The same service costs 8.7 times more in Alaska than in North Dakota. 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
AK $7,504ND $861
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.