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 $446.68 Median $602.56 Typical High $707.95 | Professional | None | $446.68 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $223.87 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $89.13 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $331.13 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $66.07 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $56.23 Typical High $66.07 | Professional | 56 · Pre-op care only | $44.67 | $56.23 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $8,317.64 | Facility | None | $501.19 | $2,691.53 | $8,317.64 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,659.59 | Professional | None | $436.52 | $436.52 | $1,659.59 |
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 $562.34 Median $602.56 Typical High $691.83 | Professional | None | $562.34 | $602.56 | $691.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $275.42 | $331.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $112.20 | $112.20 | $131.83 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | 54 · Surgery only | $416.87 | $416.87 | $489.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $97.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $66.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 $316.23 Median $446.68 Typical High $724.44 | Professional | None | $316.23 | $446.68 | $724.44 |
Where Pennsylvania sits
The same service costs 14.8 times more in Texas 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· 37th of 51
$692
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.