How much rates vary
Facilitymedian $2,239 · 10th to 90th $617 to $6,607Professionalmedian $219 · 10th to 90th $186 to $468
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 $186.21 Median $218.78 Typical High $269.15 | Professional | None | $186.21 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $45.71 | Professional | 53 · Discontinued | $37.15 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | 54 · Surgery only | $138.04 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $18.62 | $21.88 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,995.26 Typical High $3,388.44 | Facility | None | $501.19 | $1,995.26 | $3,388.44 |
Emblem Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $457.09 | Professional | None | $309.03 | $309.03 | $457.09 |
Geisinger Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
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 $186.21 Median $218.78 Typical High $269.15 | Professional | None | $186.21 | $218.78 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $165.96 | Professional | 54 · Surgery only | $138.04 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $33.11 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $33.11 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.62 | $21.88 | $21.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,025.60 | Facility | None | $1,148.15 | $1,905.46 | $6,025.60 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $478.63 | Professional | None | $213.80 | $302.00 | $478.63 |
Where Pennsylvania sits
The same service costs 10.7 times more in Colorado 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· 30th of 51
$537
CO $2,512ME $234
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.