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 $588.84 Median $3,235.94 Typical High $8,511.38 | Facility | None | $588.84 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $489.78 | Professional | None | $295.12 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $147.91 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $75.86 | Professional | 53 · Discontinued | $58.88 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $281.84 | Professional | 54 · Surgery only | $218.78 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $52.48 Typical High $56.23 | Professional | 55 · Aftercare only | $44.67 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $34.67 Typical High $38.02 | Professional | 56 · Pre-op care only | $29.51 | $34.67 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $2,290.87 | Facility | None | $501.19 | $1,148.15 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Geisinger Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,398.83 | Facility | None | $1,096.48 | $1,380.38 | $2,398.83 |
Geisinger Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $8,317.64 | Facility | None | $724.44 | $2,818.38 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $478.63 | Professional | None | $295.12 | $346.74 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $173.78 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $218.78 | $263.03 | $263.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $44.67 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $29.51 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $912.01 | Professional | None | $407.38 | $562.34 | $912.01 |
Where Pennsylvania sits
The same service costs 8.1 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· 41st of 51
$631
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.