How much rates vary
Facilitymedian $794 · 10th to 90th $302 to $8,511Professionalmedian $1,622 · 10th to 90th $1,380 to $3,388
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 $1,047.13 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,047.13 | $6,165.95 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,621.81 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $691.83 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,202.26 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,023.29 | $1,202.26 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $245.47 Typical High $257.04 | Professional | 55 · Aftercare only | $204.17 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $162.18 Typical High $173.78 | Professional | 56 · Pre-op care only | $138.04 | $162.18 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $2,290.87 | Facility | None | $380.19 | $645.65 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Geisinger Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Martin's Point Setting Facility Modifier None Typical Low $1,047.13 Median $5,754.40 Typical High $12,589.25 | Facility | None | $1,047.13 | $5,754.40 | $12,589.25 |
Martin's Point Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,621.81 | $1,862.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $691.83 | $812.83 | $812.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $275.42 | $323.59 | $323.59 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,023.29 | $1,202.26 | $1,202.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $204.17 | $245.47 | $245.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $138.04 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,819.70 | $2,511.89 | $4,073.80 |
Where Pennsylvania sits
The same service costs 5.8 times more in California than in Arkansas. 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· 46th of 51
$1,622
CA $6,918AR $1,202
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.