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 $5,495.41 Typical High $10,715.19 | Facility | None | $831.76 | $5,495.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $602.56 | Professional | None | $147.91 | $218.78 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $93.33 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $29.51 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $141.25 Typical High $165.96 | Professional | 54 · Surgery only | $112.20 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $28.18 Typical High $33.11 | Professional | 55 · Aftercare only | $22.39 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $18.62 Typical High $21.88 | Professional | 56 · Pre-op care only | $14.79 | $18.62 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $11,481.54 | Facility | None | $501.19 | $2,691.53 | $11,481.54 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Geisinger Setting Facility Modifier None Typical Low $6,918.31 Median $8,709.64 Typical High $15,135.61 | Facility | None | $6,918.31 | $8,709.64 | $15,135.61 |
Geisinger Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,248.07 Typical High $10,715.19 | Facility | None | $1,023.29 | $5,248.07 | $10,715.19 |
Martin's Point Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $602.56 | Professional | None | $186.21 | $218.78 | $602.56 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $93.33 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $93.33 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $29.51 | $37.15 | $43.65 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $141.25 Typical High $165.96 | Professional | 54 · Surgery only | $112.20 | $141.25 | $165.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $28.18 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.62 | $21.88 | $21.88 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $12,589.25 | Facility | None | $2,818.38 | $5,495.41 | $12,589.25 |
United Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $338.84 | Professional | None | $46.77 | $69.18 | $338.84 |
Where Pennsylvania sits
The same service costs 93.3 times more in Oregon than in Vermont. 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· 28th of 51
$851
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.