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 $776.25 Median $4,570.88 Typical High $10,715.19 | Facility | None | $776.25 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $707.95 | Professional | None | $398.11 | $467.74 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $346.74 Typical High $389.05 | Professional | 54 · Surgery only | $295.12 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $39.81 | $46.77 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,041.74 Typical High $4,073.80 | Facility | None | $501.19 | $2,041.74 | $4,073.80 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Geisinger Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $4,466.84 | Facility | None | $2,041.74 | $2,511.89 | $4,466.84 |
Geisinger Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $4,265.80 Typical High $10,715.19 | Facility | None | $831.76 | $4,265.80 | $10,715.19 |
Martin's Point Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $707.95 | Professional | None | $398.11 | $467.74 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $93.33 | $100.00 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $346.74 Typical High $371.54 | Professional | 54 · Surgery only | $295.12 | $346.74 | $371.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $69.18 Typical High $74.13 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $74.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $39.81 | $46.77 | $50.12 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,025.60 | Facility | None | $1,148.15 | $1,905.46 | $6,025.60 |
United Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,071.52 | Professional | None | $489.78 | $676.08 | $1,071.52 |
Where Pennsylvania sits
The same service costs 10.2 times more in Texas 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· 33rd of 51
$1,096
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.