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 $831.76 Median $5,754.40 Typical High $10,471.29 | Facility | None | $831.76 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $416.87 | Professional | None | $275.42 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $138.04 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $64.57 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $239.88 Typical High $257.04 | Professional | 54 · Surgery only | $204.17 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $47.86 Typical High $51.29 | Professional | 55 · Aftercare only | $40.74 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | 56 · Pre-op care only | $27.54 | $32.36 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $31,622.78 | Facility | None | $501.19 | $2,691.53 | $31,622.78 |
Emblem Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Geisinger Setting Facility Modifier None Typical Low $19,054.61 Median $23,988.33 Typical High $41,686.94 | Facility | None | $19,054.61 | $23,988.33 | $41,686.94 |
Geisinger Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,370.32 Typical High $10,964.78 | Facility | None | $1,023.29 | $5,370.32 | $10,964.78 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $416.87 | Professional | None | $275.42 | $323.59 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $64.57 | $67.61 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $239.88 Typical High $251.19 | Professional | 54 · Surgery only | $204.17 | $239.88 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $47.86 Typical High $50.12 | Professional | 55 · Aftercare only | $40.74 | $47.86 | $50.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | 56 · Pre-op care only | $27.54 | $32.36 | $33.88 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $15,135.61 Typical High $33,113.11 | Facility | None | $3,890.45 | $15,135.61 | $33,113.11 |
United Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $741.31 | Professional | None | $338.84 | $457.09 | $741.31 |
Where Pennsylvania sits
The same service costs 63.1 times more in Arkansas than in New York. 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· 35th of 51
$776
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.