How much rates vary
Facilitymedian $676 · 10th to 90th $269 to $3,802Professionalmedian $229 · 10th to 90th $174 to $331
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 $269.15 Median $2,951.21 Typical High $8,511.38 | Facility | None | $269.15 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $269.15 | Professional | None | $165.96 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $83.18 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $169.82 Typical High $199.53 | Professional | 54 · Surgery only | $125.89 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $33.88 Typical High $39.81 | Professional | 55 · Aftercare only | $25.12 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $22.39 Typical High $26.92 | Professional | 56 · Pre-op care only | $16.60 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $158.49 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $117.49 | $158.49 | $186.21 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $56,234.13 | Professional | None | $281.84 | $302.00 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $208.93 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $204.17 | $208.93 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $1,000.00 | Facility | None | $457.09 | $616.60 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $407.38 | Professional | None | $173.78 | $218.78 | $407.38 |
Emblem Health Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $467.74 | Professional | None | $354.81 | $467.74 | $467.74 |
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 $213.80 Median $302.00 Typical High $489.78 | Professional | None | $213.80 | $302.00 | $489.78 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $269.15 | Professional | None | $165.96 | $223.87 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $83.18 | $112.20 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $33.11 | $44.67 | $53.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $169.82 Typical High $199.53 | Professional | 54 · Surgery only | $125.89 | $169.82 | $199.53 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $33.88 Typical High $39.81 | Professional | 55 · Aftercare only | $25.12 | $33.88 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $22.39 Typical High $26.92 | Professional | 56 · Pre-op care only | $16.60 | $22.39 | $26.92 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $158.49 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $117.49 | $158.49 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $467.74 | Professional | None | $281.84 | $281.84 | $467.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $1,096.48 Typical High $2,511.89 | Facility | None | $223.87 | $1,096.48 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $269.15 | Professional | None | $186.21 | $251.19 | $269.15 |
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 $190.55 Median $263.03 Typical High $363.08 | Professional | None | $190.55 | $263.03 | $363.08 |
Where Pennsylvania sits
The same service costs 4.3 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· 38th of 51
$240
AK $912KY $214
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.