How much rates vary
Facilitymedian $832 · 10th to 90th $380 to $3,981Professionalmedian $191 · 10th to 90th $145 to $257
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 $229.09 Median $2,137.96 Typical High $8,317.64 | Facility | None | $229.09 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $229.09 | Professional | None | $144.54 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $38.02 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $141.25 Typical High $173.78 | Professional | 54 · Surgery only | $107.15 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.18 Typical High $34.67 | Professional | 55 · Aftercare only | $21.38 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $14.45 | $19.05 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $131.83 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $100.00 | $131.83 | $162.18 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $269.15 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $165.96 | $269.15 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $1,258.93 | Facility | None | $338.84 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $309.03 | Professional | None | $141.25 | $190.55 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $467.74 | Professional | None | $257.04 | $346.74 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $794.33 Typical High $1,412.54 | Facility | None | $645.65 | $794.33 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $371.54 | Professional | None | $154.88 | $213.80 | $371.54 |
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 $144.54 Median $199.53 Typical High $229.09 | Professional | None | $144.54 | $199.53 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $95.50 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $38.90 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $144.54 Typical High $173.78 | Professional | 54 · Surgery only | $107.15 | $144.54 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.84 Typical High $34.67 | Professional | 55 · Aftercare only | $21.38 | $28.84 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $14.45 | $19.05 | $22.91 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $134.90 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $100.00 | $134.90 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $407.38 | Professional | None | $190.55 | $199.53 | $407.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $812.83 Typical High $1,862.09 | Facility | None | $144.54 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $208.93 | Professional | None | $144.54 | $165.96 | $208.93 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,467.37 | Facility | None | $416.87 | $724.44 | $3,467.37 |
United Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $288.40 | Professional | None | $134.90 | $186.21 | $288.40 |
Where Pennsylvania sits
The same service costs 4.2 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· 40th of 51
$191
AK $646NJ $155
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.