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 $602.56 Median $741.31 Typical High $891.25 | Professional | None | $602.56 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $371.54 Typical High $380.19 | Professional | 52 · Reduced service | $316.23 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $549.54 Typical High $575.44 | Professional | 54 · Surgery only | $467.74 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $109.65 Typical High $114.82 | Professional | 55 · Aftercare only | $93.33 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $11,481.54 | Facility | None | $501.19 | $2,691.53 | $11,481.54 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Geisinger Setting Facility Modifier None Typical Low $6,918.31 Median $8,709.64 Typical High $15,135.61 | Facility | None | $6,918.31 | $8,709.64 | $15,135.61 |
Geisinger Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
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 $630.96 Median $741.31 Typical High $870.96 | Professional | None | $630.96 | $741.31 | $870.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $316.23 | $371.54 | $371.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $125.89 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $467.74 | $549.54 | $549.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $93.33 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $74.13 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $12,589.25 | Facility | None | $2,818.38 | $5,495.41 | $12,589.25 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,698.24 | Professional | None | $724.44 | $1,023.29 | $1,698.24 |
Where Pennsylvania sits
The same service costs 16.2 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· 32nd of 51
$1,349
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.