How much rates vary
Facilitymedian $457 · 10th to 90th $257 to $3,631Professionalmedian $200 · 10th to 90th $129 to $347
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 $316.23 Median $1,513.56 Typical High $8,511.38 | Facility | None | $316.23 | $1,513.56 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $346.74 | Professional | None | $173.78 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $112.20 Typical High $173.78 | Professional | 52 · Reduced service | $87.10 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $44.67 Typical High $69.18 | Professional | 53 · Discontinued | $34.67 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | 54 · Surgery only | $128.82 | $165.96 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $33.88 Typical High $51.29 | Professional | 55 · Aftercare only | $25.70 | $33.88 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $22.39 Typical High $34.67 | Professional | 56 · Pre-op care only | $17.38 | $22.39 | $34.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $120.23 | $154.88 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
AmeriHealth Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | None | $169.82 | $169.82 | $346.74 |
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 $165.96 Median $269.15 Typical High $269.15 | Professional | None | $165.96 | $269.15 | $269.15 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $288.40 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $239.88 | $288.40 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $851.14 | Facility | None | $316.23 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $389.05 | Professional | None | $107.15 | $173.78 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $776.25 | Professional | None | $426.58 | $588.84 | $776.25 |
Geisinger Setting Facility Modifier None Typical Low $288.40 Median $354.81 Typical High $630.96 | Facility | None | $288.40 | $354.81 | $630.96 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $275.42 Typical High $524.81 | Professional | None | $117.49 | $275.42 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $870.96 Median $2,187.76 Typical High $4,265.80 | Facility | None | $870.96 | $2,187.76 | $4,265.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $588.84 | Professional | None | $239.88 | $363.08 | $588.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | None | $169.82 | $169.82 | $346.74 |
Martin's Point Setting Facility Modifier None Typical Low $346.74 Median $1,513.56 Typical High $8,511.38 | Facility | None | $346.74 | $1,513.56 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $346.74 | Professional | None | $173.78 | $234.42 | $346.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $112.20 Typical High $173.78 | Professional | 52 · Reduced service | $87.10 | $112.20 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $44.67 Typical High $69.18 | Professional | 53 · Discontinued | $34.67 | $44.67 | $69.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | 54 · Surgery only | $128.82 | $165.96 | $257.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $33.88 Typical High $51.29 | Professional | 55 · Aftercare only | $25.70 | $33.88 | $51.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $22.39 Typical High $34.67 | Professional | 56 · Pre-op care only | $17.38 | $22.39 | $34.67 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $120.23 | $154.88 | $239.88 |
Oscar Health Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $524.81 | Professional | None | $165.96 | $177.83 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $91.20 Median $275.42 Typical High $457.09 | Facility | None | $91.20 | $275.42 | $457.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $302.00 | Professional | None | $91.20 | $165.96 | $302.00 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,290.87 | Facility | None | $199.53 | $436.52 | $2,290.87 |
United Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $380.19 | Professional | None | $147.91 | $234.42 | $380.19 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 46th of 51
$200
AK $741KY $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.