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 $812.83 Median $4,897.79 Typical High $8,511.38 | Facility | None | $812.83 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $588.84 | Professional | None | $371.54 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | 54 · Surgery only | $281.84 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $66.07 Typical High $70.79 | Professional | 55 · Aftercare only | $56.23 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $43.65 Typical High $47.86 | Professional | 56 · Pre-op care only | $37.15 | $43.65 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $30,199.52 | Facility | None | $501.19 | $2,691.53 | $30,199.52 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | None | $645.65 | $645.65 | $912.01 |
Geisinger Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $4,786.30 Typical High $8,511.38 | Facility | None | $831.76 | $4,786.30 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $588.84 | Professional | None | $371.54 | $436.52 | $588.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $218.78 | $234.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $89.13 Typical High $93.33 | Professional | 53 · Discontinued | $74.13 | $89.13 | $93.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | 54 · Surgery only | $281.84 | $331.13 | $354.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $66.07 Typical High $70.79 | Professional | 55 · Aftercare only | $56.23 | $66.07 | $70.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $43.65 Typical High $46.77 | Professional | 56 · Pre-op care only | $37.15 | $43.65 | $46.77 |
UPMC Health Plan Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $15,135.61 Typical High $33,113.11 | Facility | None | $3,890.45 | $15,135.61 | $33,113.11 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,047.13 | Professional | None | $457.09 | $645.65 | $1,047.13 |
Where Pennsylvania sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 45th of 51
$759
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.