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 $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 $380.19 Median $380.19 Typical High $446.68 | Professional | None | $380.19 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | 53 · Discontinued | $75.86 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 54 · Surgery only | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $7,943.28 | Facility | None | $501.19 | $2,691.53 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Geisinger Setting Facility Modifier None Typical Low $4,786.30 Median $6,025.60 Typical High $10,471.29 | Facility | None | $4,786.30 | $6,025.60 | $10,471.29 |
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 $380.19 Median $380.19 Typical High $446.68 | Professional | None | $380.19 | $380.19 | $446.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $186.21 | $223.87 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | 53 · Discontinued | $75.86 | $75.86 | $89.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 54 · Surgery only | $281.84 | $281.84 | $331.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $66.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $44.67 |
Oscar Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $6,025.60 | Facility | None | $812.83 | $1,318.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $831.76 | Professional | None | $489.78 | $562.34 | $831.76 |
Where Pennsylvania sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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· 51st of 51
$501
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.