How much rates vary
Facilitymedian $5,012 · 10th to 90th $617 to $11,482Professionalmedian $372 · 10th to 90th $309 to $646
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 $309.03 Median $371.54 Typical High $426.58 | Professional | None | $309.03 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $275.42 | Professional | 54 · Surgery only | $234.42 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $54.95 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $34.67 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.90 | $34.67 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $12,302.69 | Facility | None | $501.19 | $2,691.53 | $12,302.69 |
Emblem Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
Geisinger Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
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 $309.03 Median $371.54 Typical High $416.87 | Professional | None | $309.03 | $371.54 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $173.78 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $69.18 | $74.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $275.42 | Professional | 54 · Surgery only | $234.42 | $263.03 | $275.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $54.95 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $54.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $34.67 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.90 | $34.67 | $37.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
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 $288.40 Median $426.58 Typical High $660.69 | Professional | None | $288.40 | $426.58 | $660.69 |
Where Pennsylvania sits
The same service costs 16.2 times more in Arkansas than in West Virginia. 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· 36th of 51
$617
AR $6,918WV $427
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.