How much rates vary
Facilitymedian $2,291 · 10th to 90th $562 to $5,754Professionalmedian $309 · 10th to 90th $275 to $468
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 $660.69 Median $4,073.80 Typical High $8,511.38 | Facility | None | $660.69 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $446.68 | Professional | None | $288.40 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $154.88 Typical High $181.97 | Professional | 52 · Reduced service | $144.54 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $229.09 Typical High $275.42 | Professional | 54 · Surgery only | $213.80 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $54.95 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $36.31 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $2,089.30 | Facility | None | $457.09 | $630.96 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $8,317.64 | Facility | None | $724.44 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $371.54 | Professional | None | $288.40 | $309.03 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $144.54 | $144.54 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $57.54 | $57.54 | $67.61 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 54 · Surgery only | $213.80 | $213.80 | $257.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $51.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $33.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | None | $371.54 | $371.54 | $380.19 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $5,011.87 | Facility | None | $1,380.38 | $2,398.83 | $5,011.87 |
United Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $512.86 | Professional | None | $263.03 | $309.03 | $512.86 |
Where Pennsylvania sits
The same service costs 7.8 times more in Texas than in Delaware. 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· 50th of 51
$339
TX $2,399DE $309
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.