How much rates vary
Facilitymedian $1,514 · 10th to 90th $68 to $8,511Professionalmedian $68 · 10th to 90th $58 to $107
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 $67.61 Median $4,897.79 Typical High $8,511.38 | Facility | None | $67.61 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 52 · Reduced service | $28.18 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 54 · Surgery only | $42.66 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $6.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $34.67 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $109.65 Typical High $131.83 | Facility | None | $44.67 | $109.65 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $89.13 | $89.13 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $57.54 | $57.54 | $67.61 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $22.39 | $25.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | 52 · Reduced service | $28.18 | $28.18 | $33.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $13.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 54 · Surgery only | $42.66 | $42.66 | $51.29 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $10.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $6.76 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $34.67 | $42.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $125.89 | Facility | None | $51.29 | $109.65 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $69.18 | $95.50 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $28.18 | $38.02 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $58.88 | $87.10 |
Where Pennsylvania sits
The same service costs 4.4 times more in Texas 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· 41st of 51
$67.61
TX $174NY $39.81
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.