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 $724.44 Median $5,754.40 Typical High $10,232.93 | Facility | None | $724.44 | $5,754.40 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $707.95 | Professional | None | $363.08 | $426.58 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $181.97 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $85.11 Typical High $89.13 | Professional | 53 · Discontinued | $72.44 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $323.59 Typical High $331.13 | Professional | 54 · Surgery only | $275.42 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $64.57 Typical High $66.07 | Professional | 55 · Aftercare only | $54.95 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $42.66 Typical High $43.65 | Professional | 56 · Pre-op care only | $36.31 | $42.66 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $23,988.33 | Facility | None | $501.19 | $2,691.53 | $23,988.33 |
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 Facility Modifier None Typical Low $14,454.40 Median $18,197.01 Typical High $31,622.78 | Facility | None | $14,454.40 | $18,197.01 | $31,622.78 |
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 $1,023.29 Median $5,495.41 Typical High $10,232.93 | Facility | None | $1,023.29 | $5,495.41 | $10,232.93 |
Martin's Point Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $707.95 | Professional | None | $363.08 | $426.58 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $181.97 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $275.42 | $323.59 | $323.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $54.95 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $36.31 | $42.66 | $42.66 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $14,454.40 | Facility | None | $2,818.38 | $5,495.41 | $14,454.40 |
United Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,258.93 | Professional | None | $562.34 | $776.25 | $1,258.93 |
Where Pennsylvania sits
The same service costs 27.5 times more in Oklahoma 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· 38th of 51
$1,072
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.