How much rates vary
Facilitymedian $1,622 · 10th to 90th $447 to $7,413Professionalmedian $275 · 10th to 90th $200 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 $416.87 Median $5,370.32 Typical High $10,000.00 | Facility | None | $416.87 | $5,370.32 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $407.38 | Professional | None | $199.53 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $141.25 Typical High $204.17 | Professional | 52 · Reduced service | $100.00 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $81.28 | Professional | 53 · Discontinued | $39.81 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $213.80 Typical High $309.03 | Professional | 54 · Surgery only | $147.91 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $42.66 Typical High $61.66 | Professional | 55 · Aftercare only | $29.51 | $42.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $28.18 Typical High $40.74 | Professional | 56 · Pre-op care only | $19.95 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $199.53 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $138.04 | $199.53 | $288.40 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $426.58 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $295.12 | $426.58 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $3,019.95 | Facility | None | $954.99 | $1,584.89 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $446.68 | Professional | None | $194.98 | $275.42 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $812.83 | Professional | None | $436.52 | $602.56 | $812.83 |
Geisinger Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,162.28 | Facility | None | $1,445.44 | $1,778.28 | $3,162.28 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $588.84 | Professional | None | $213.80 | $346.74 | $588.84 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $4,897.79 Typical High $10,964.78 | Facility | None | $537.03 | $4,897.79 | $10,964.78 |
Martin's Point Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $407.38 | Professional | None | $199.53 | $309.03 | $407.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $141.25 Typical High $204.17 | Professional | 52 · Reduced service | $100.00 | $141.25 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $81.28 | Professional | 53 · Discontinued | $39.81 | $56.23 | $81.28 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $213.80 Typical High $309.03 | Professional | 54 · Surgery only | $147.91 | $213.80 | $309.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $42.66 Typical High $61.66 | Professional | 55 · Aftercare only | $29.51 | $42.66 | $61.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $28.18 Typical High $40.74 | Professional | 56 · Pre-op care only | $19.95 | $28.18 | $40.74 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $199.53 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $138.04 | $199.53 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $676.08 | Professional | None | $269.15 | $288.40 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $436.52 | Facility | None | $204.17 | $263.03 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $363.08 | Professional | None | $204.17 | $213.80 | $363.08 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,570.88 | Facility | None | $812.83 | $1,318.26 | $4,570.88 |
United Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $436.52 | Professional | None | $181.97 | $288.40 | $436.52 |
Where Pennsylvania sits
The same service costs 3.7 times more in Wyoming than in Texas. 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· 43rd of 51
$275
WY $891TX $240
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.