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 $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,230.27 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $616.60 Typical High $660.69 | Professional | 52 · Reduced service | $524.81 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $245.47 Typical High $269.15 | Professional | 53 · Discontinued | $208.93 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $933.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $776.25 | $933.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $186.21 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $123.03 Typical High $134.90 | Professional | 56 · Pre-op care only | $104.71 | $123.03 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,691.53 | Facility | None | $380.19 | $660.69 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,630.27 | Professional | None | $1,513.56 | $1,513.56 | $2,630.27 |
Geisinger Setting Professional Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $2,691.53 | Professional | None | $1,548.82 | $1,584.89 | $2,691.53 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,230.27 | $1,584.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $616.60 Typical High $660.69 | Professional | 52 · Reduced service | $524.81 | $616.60 | $660.69 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $245.47 Typical High $263.03 | Professional | 53 · Discontinued | $208.93 | $245.47 | $263.03 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $933.25 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $933.25 | $977.24 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $186.21 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $186.21 | $199.53 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $123.03 Typical High $131.83 | Professional | 56 · Pre-op care only | $104.71 | $123.03 | $131.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,479.11 | $1,621.81 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,513.56 | $1,621.81 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,288.25 | $1,778.28 | $2,884.03 |
Where Pennsylvania sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 49th of 51
$1,230
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.