How much rates vary
Facilitymedian $4,786 · 10th to 90th $575 to $11,482Professionalmedian $331 · 10th to 90th $263 to $617
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 $263.03 Median $309.03 Typical High $380.19 | Professional | None | $263.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $154.88 Typical High $165.96 | Professional | 52 · Reduced service | $131.83 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $61.66 Typical High $66.07 | Professional | 53 · Discontinued | $52.48 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $234.42 Typical High $251.19 | Professional | 54 · Surgery only | $199.53 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $46.77 Typical High $50.12 | Professional | 55 · Aftercare only | $39.81 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $30.90 Typical High $33.11 | Professional | 56 · Pre-op care only | $26.30 | $30.90 | $33.11 |
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 $436.52 Median $436.52 Typical High $645.65 | Professional | None | $436.52 | $436.52 | $645.65 |
Geisinger Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
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 $263.03 Median $309.03 Typical High $380.19 | Professional | None | $263.03 | $309.03 | $380.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $154.88 | $154.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $52.48 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $199.53 | $234.42 | $234.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $39.81 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $26.30 | $30.90 | $30.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $380.19 | Facility | None | $338.84 | $380.19 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $380.19 | Professional | None | $338.84 | $354.81 | $380.19 |
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 $302.00 Median $416.87 Typical High $676.08 | Professional | None | $302.00 | $416.87 | $676.08 |
Where Pennsylvania sits
The same service costs 15.8 times more in Arkansas 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· 44th of 51
$537
AR $6,918ME $437
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.