How much rates vary
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 $645.65 Median $3,090.30 Typical High $8,511.38 | Facility | None | $645.65 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $954.99 Typical High $2,754.23 | Professional | None | $194.98 | $954.99 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $223.87 Typical High $2,089.30 | Professional | 54 · Surgery only | $147.91 | $223.87 | $2,089.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $208.93 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $138.04 | $208.93 | $1,949.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $3,981.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,884.03 | $3,890.45 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,398.83 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,398.83 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,174.90 Typical High $2,290.87 | Facility | None | $537.03 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $676.08 Typical High $3,162.28 | Professional | None | $213.80 | $676.08 | $3,162.28 |
Emblem Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,073.80 | Professional | None | $3,981.07 | $3,981.07 | $4,073.80 |
Geisinger Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $2,137.96 | Facility | None | $977.24 | $1,202.26 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $257.04 Median $2,187.76 Typical High $3,801.89 | Professional | None | $257.04 | $2,187.76 | $3,801.89 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,317.64 | Facility | None | $724.44 | $2,754.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $194.98 Median $954.99 Typical High $2,754.23 | Professional | None | $194.98 | $954.99 | $2,754.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $223.87 Typical High $2,089.30 | Professional | 54 · Surgery only | $147.91 | $223.87 | $2,089.30 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $208.93 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $138.04 | $208.93 | $1,949.84 |
Oscar Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $9,772.37 | Professional | None | $2,691.53 | $2,884.03 | $9,772.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $2,290.87 | Facility | None | $213.80 | $218.78 | $2,290.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $213.80 Median $1,318.26 Typical High $2,290.87 | Professional | None | $213.80 | $1,318.26 | $2,290.87 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $229.09 Median $1,096.48 Typical High $3,311.31 | Professional | None | $229.09 | $1,096.48 | $3,311.31 |
Where Pennsylvania sits
The same service costs 7.1 times more in Oregon 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· 21st of 51
$1,660
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.