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 $660.69 Median $4,073.80 Typical High $8,511.38 | Facility | None | $660.69 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $630.96 | Professional | None | $436.52 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $257.04 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $87.10 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $380.19 Typical High $398.11 | Professional | 54 · Surgery only | $323.59 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $75.86 Typical High $79.43 | Professional | 55 · Aftercare only | $64.57 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | 56 · Pre-op care only | $43.65 | $51.29 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,041.74 Typical High $3,388.44 | Facility | None | $501.19 | $2,041.74 | $3,388.44 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Geisinger Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $4,466.84 | Facility | None | $2,041.74 | $2,511.89 | $4,466.84 |
Geisinger Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $8,317.64 | Facility | None | $724.44 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $630.96 | Professional | None | $436.52 | $512.86 | $630.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $218.78 | $257.04 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $87.10 | $102.33 | $102.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $323.59 | $380.19 | $380.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $64.57 | $75.86 | $75.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $43.65 | $51.29 | $51.29 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,025.60 | Facility | None | $1,148.15 | $1,905.46 | $6,025.60 |
United Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,174.90 | Professional | None | $501.19 | $724.44 | $1,174.90 |
Where Pennsylvania sits
The same service costs 10.2 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· 34th of 51
$977
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.