How much rates vary
Facilitymedian $191 · 10th to 90th $78 to $3,467Professionalmedian $141 · 10th to 90th $100 to $229
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 $190.55 Median $2,344.23 Typical High $8,317.64 | Facility | None | $190.55 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $190.55 | Professional | None | $100.00 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $72.44 Typical High $95.50 | Professional | 52 · Reduced service | $50.12 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.84 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $107.15 Typical High $141.25 | Professional | 54 · Surgery only | $75.86 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $21.38 Typical High $28.84 | Professional | 55 · Aftercare only | $15.14 | $21.38 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.45 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.00 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $100.00 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $70.79 | $100.00 | $131.83 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $218.78 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $138.04 | $218.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $257.04 | Facility | None | $50.12 | $138.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $234.42 | Professional | None | $100.00 | $141.25 | $234.42 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $407.38 | Professional | None | $218.78 | $302.00 | $407.38 |
Geisinger Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $269.15 | Facility | None | $123.03 | $154.88 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $302.00 | Professional | None | $112.20 | $177.83 | $302.00 |
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 $100.00 Median $162.18 Typical High $190.55 | Professional | None | $100.00 | $162.18 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $50.12 | $74.13 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $29.51 Typical High $38.02 | Professional | 53 · Discontinued | $20.42 | $29.51 | $38.02 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $109.65 Typical High $141.25 | Professional | 54 · Surgery only | $75.86 | $109.65 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.39 Typical High $28.84 | Professional | 55 · Aftercare only | $15.14 | $22.39 | $28.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.79 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.00 | $14.79 | $19.05 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $102.33 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $70.79 | $102.33 | $131.83 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $338.84 | Professional | None | $144.54 | $151.36 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $83.18 Median $173.78 Typical High $398.11 | Facility | None | $83.18 | $173.78 | $398.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $173.78 | Professional | None | $83.18 | $120.23 | $173.78 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,698.24 | Facility | None | $77.62 | $158.49 | $1,698.24 |
United Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $229.09 | Professional | None | $95.50 | $147.91 | $229.09 |
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· 42nd of 51
$141
AK $437NJ $126
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.