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 $302.00 Median $354.81 Typical High $467.74 | Professional | None | $302.00 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $269.15 Typical High $281.84 | Professional | 54 · Surgery only | $229.09 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $56.23 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.20 | $35.48 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $30,199.52 | Facility | None | $501.19 | $2,691.53 | $30,199.52 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $18,620.87 Median $22,908.68 Typical High $40,738.03 | Facility | None | $18,620.87 | $22,908.68 | $40,738.03 |
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 $5,370.32 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 $302.00 Median $354.81 Typical High $467.74 | Professional | None | $302.00 | $354.81 | $467.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $151.36 | $177.83 | $177.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $60.26 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $229.09 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $30.20 | $35.48 | $35.48 |
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 $371.54 Median $512.86 Typical High $831.76 | Professional | None | $371.54 | $512.86 | $831.76 |
Where Pennsylvania sits
The same service costs 57.5 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
$832
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.