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 $407.38 Median $478.63 Typical High $588.84 | Professional | None | $407.38 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $204.17 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $302.00 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $40.74 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $12,589.25 | Facility | None | $501.19 | $2,691.53 | $12,589.25 |
Emblem Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
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 $407.38 Median $478.63 Typical High $588.84 | Professional | None | $407.38 | $478.63 | $588.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $204.17 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $81.28 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $302.00 | $354.81 | $354.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $40.74 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $15,135.61 Typical High $30,902.95 | Facility | None | $3,890.45 | $15,135.61 | $30,902.95 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,047.13 | Professional | None | $467.74 | $645.65 | $1,047.13 |
Where Pennsylvania sits
The same service costs 24.0 times more in Arkansas than in New York. 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
$776
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.