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 $45.71 Median $4,897.79 Typical High $8,511.38 | Facility | None | $45.71 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $38.90 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | 26 · Professional part | $15.14 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $9.12 | Professional | 53 · Discontinued | $7.76 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 54 · Surgery only | $28.84 | $28.84 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.92 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $4.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $23.44 | $23.44 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $79.43 Typical High $95.50 | Facility | None | $44.67 | $79.43 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None (both parts) | $74.13 | $74.13 | $75.86 |
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 $38.90 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $38.90 | $38.90 | $45.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | 26 · Professional part | $15.14 | $15.14 | $16.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $19.50 | $22.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $9.12 | Professional | 53 · Discontinued | $7.76 | $7.76 | $9.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 54 · Surgery only | $28.84 | $28.84 | $34.67 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.92 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.92 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $4.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $23.44 | $23.44 | $28.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
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 $51.29 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $51.29 | $66.07 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $25.70 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $30.90 | $39.81 | $60.26 |
Where Pennsylvania sits
The same service costs 3.3 times more in Nebraska 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· 47th of 51
$45.71
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.