How much rates vary
Facilitymedian $603 · 10th to 90th $263 to $3,020Professionalmedian $214 · 10th to 90th $135 to $324
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 $245.47 Median $2,137.96 Typical High $8,317.64 | Facility | None | $245.47 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $245.47 | Professional | None | $134.90 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $67.61 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $26.92 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $154.88 Typical High $181.97 | Professional | 54 · Surgery only | $102.33 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $30.90 Typical High $36.31 | Professional | 55 · Aftercare only | $20.42 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $20.42 Typical High $24.55 | Professional | 56 · Pre-op care only | $13.49 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $144.54 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $95.50 | $144.54 | $169.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $8,709.64 | Facility | None | $2,630.27 | $2,818.38 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | None | $251.19 | $251.19 | $380.19 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $194.98 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $186.21 | $194.98 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $933.25 | Facility | None | $346.74 | $537.03 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $389.05 | Professional | None | $131.83 | $229.09 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | None | $323.59 | $416.87 | $416.87 |
Geisinger Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $1,023.29 | Facility | None | $467.74 | $588.84 | $1,023.29 |
Geisinger Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $524.81 | Professional | None | $181.97 | $323.59 | $524.81 |
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 $134.90 Median $204.17 Typical High $245.47 | Professional | None | $134.90 | $204.17 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $67.61 | $102.33 | $123.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $26.92 | $40.74 | $48.98 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $154.88 Typical High $181.97 | Professional | 54 · Surgery only | $102.33 | $154.88 | $181.97 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $30.90 Typical High $36.31 | Professional | 55 · Aftercare only | $20.42 | $30.90 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $20.42 Typical High $24.55 | Professional | 56 · Pre-op care only | $13.49 | $20.42 | $24.55 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $144.54 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $95.50 | $144.54 | $169.82 |
Oscar Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $575.44 | Professional | None | $263.03 | $263.03 | $575.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $134.90 Median $389.05 Typical High $891.25 | Facility | None | $134.90 | $389.05 | $891.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $257.04 | Professional | None | $134.90 | $234.42 | $257.04 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,187.76 | Facility | None | $199.53 | $436.52 | $2,187.76 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $398.11 | Professional | None | $158.49 | $239.88 | $398.11 |
Where Pennsylvania sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 41st of 51
$219
AK $776VA $186
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.