How much rates vary
Facilitymedian $2,344 · 10th to 90th $692 to $5,754Professionalmedian $1,349 · 10th to 90th $1,096 to $3,162
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 $831.76 Median $4,073.80 Typical High $8,511.38 | Facility | None | $831.76 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $549.54 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $257.04 Typical High $288.40 | Professional | 53 · Discontinued | $218.78 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $954.99 Typical High $1,071.52 | Professional | 54 · Surgery only | $812.83 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $190.55 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $109.65 | $128.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $3,467.37 | Facility | None | $501.19 | $2,089.30 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Geisinger Setting Facility Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $4,570.88 | Facility | None | $2,089.30 | $2,630.27 | $4,570.88 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $2,089.30 | Professional | None | $239.88 | $239.88 | $2,089.30 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,317.64 | Facility | None | $831.76 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,288.25 | $1,548.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $645.65 Typical High $676.08 | Professional | 52 · Reduced service | $549.54 | $645.65 | $676.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $257.04 Typical High $269.15 | Professional | 53 · Discontinued | $218.78 | $257.04 | $269.15 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $954.99 Typical High $1,000.00 | Professional | 54 · Surgery only | $812.83 | $954.99 | $1,000.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $190.55 Typical High $204.17 | Professional | 55 · Aftercare only | $162.18 | $190.55 | $204.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | 56 · Pre-op care only | $109.65 | $128.82 | $134.90 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $5,623.41 | Facility | None | $1,148.15 | $1,905.46 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,454.71 | $3,890.45 |
Where Pennsylvania sits
The same service costs 15.8 times more in Wisconsin than in Nebraska. 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· 42nd of 51
$1,950
WI $6,026NE $380
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.