How much rates vary
Facilitymedian $575,440 · 10th to 90th $549,541 to $1,148,154Professionalmedian $602,560 · 10th to 90th $537,032 to $602,560
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 $575,439.94 Median $870,963.59 Typical High $1,479,108.39 | Facility | None | $575,439.94 | $870,963.59 | $1,479,108.39 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $588,843.66 | Professional | None | $575,439.94 | $575,439.94 | $588,843.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $117,489.76 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $117,489.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $58,884.37 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $58,884.37 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5,011.87 Median $588,843.66 Typical High $724,435.96 | Facility | None | $5,011.87 | $588,843.66 | $724,435.96 |
Capital Blue Cross Setting Professional Modifier None Typical Low $537,031.80 Median $602,559.59 Typical High $602,559.59 | Professional | None | $537,031.80 | $602,559.59 | $602,559.59 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $602,559.59 | Professional | None | $549,540.87 | $549,540.87 | $602,559.59 |
Emblem Health Setting Professional Modifier None Typical Low $489,778.82 Median $602,559.59 Typical High $794,328.23 | Professional | None | $489,778.82 | $602,559.59 | $794,328.23 |
Geisinger Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $588,843.66 | Facility | None | $575,439.94 | $575,439.94 | $588,843.66 |
Geisinger Setting Professional Modifier None Typical Low $575,439.94 Median $758,577.58 Typical High $1,071,519.31 | Professional | None | $575,439.94 | $758,577.58 | $1,071,519.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $549,540.87 | Facility | None | $549,540.87 | $549,540.87 | $549,540.87 |
Martin's Point Setting Facility Modifier None Typical Low $575,439.94 Median $1,148,153.62 Typical High $1,479,108.39 | Facility | None | $575,439.94 | $1,148,153.62 | $1,479,108.39 |
Martin's Point Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $588,843.66 | Professional | None | $575,439.94 | $575,439.94 | $588,843.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $295,120.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $117,489.76 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $117,489.76 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $58,884.37 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $58,884.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $588,843.66 Typical High $676,082.98 | Professional | None | $562,341.33 | $588,843.66 | $676,082.98 |
Where Pennsylvania sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 15th of 51
$602,560
TX $977,237MN $562,341
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.