How much rates vary
Facilitymedian $5,129 · 10th to 90th $617 to $12,589Professionalmedian $5,623 · 10th to 90th $646 to $15,136
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 $1,023.29 Median $5,370.32 Typical High $8,511.38 | Facility | None | $1,023.29 | $5,370.32 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $4,677.35 Typical High $6,165.95 | Professional | None | $3,388.44 | $4,677.35 | $6,165.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,754.23 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,344.23 | $2,754.23 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,122.02 Typical High $1,202.26 | Professional | 53 · Discontinued | $954.99 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,548.13 Median $4,168.69 Typical High $4,570.88 | Professional | 54 · Surgery only | $3,548.13 | $4,168.69 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $831.76 Typical High $912.01 | Professional | 55 · Aftercare only | $707.95 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $562.34 Typical High $602.56 | Professional | 56 · Pre-op care only | $467.74 | $562.34 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $13,803.84 | Facility | None | $501.19 | $2,691.53 | $13,803.84 |
Emblem Health Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $18,620.87 | Professional | None | $16,982.44 | $16,982.44 | $18,620.87 |
Geisinger Setting Professional Modifier None Typical Low $812.83 Median $10,715.19 Typical High $15,135.61 | Professional | None | $812.83 | $10,715.19 | $15,135.61 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $4,897.79 Typical High $8,511.38 | Facility | None | $1,023.29 | $4,897.79 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $6,025.60 | Professional | None | $3,715.35 | $4,677.35 | $6,025.60 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2,344.23 Median $2,754.23 Typical High $2,754.23 | Professional | 52 · Reduced service | $2,344.23 | $2,754.23 | $2,754.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $954.99 | $1,122.02 | $1,122.02 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | 54 · Surgery only | $3,548.13 | $4,168.69 | $4,168.69 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | 55 · Aftercare only | $707.95 | $831.76 | $831.76 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | 56 · Pre-op care only | $467.74 | $562.34 | $562.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $10,964.78 | Facility | None | $549.54 | $588.84 | $10,964.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $549.54 Median $10,000.00 Typical High $10,964.78 | Professional | None | $549.54 | $10,000.00 | $10,964.78 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,818.38 | $5,495.41 | $14,125.38 |
United Setting Professional Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $20,417.38 | Professional | None | $9,332.54 | $12,302.69 | $20,417.38 |
Where Pennsylvania sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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
$5,623
IN $18,197NE $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.