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 $537.03 Median $2,454.71 Typical High $8,317.64 | Facility | None | $537.03 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $158.49 | Professional | None | $97.72 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $48.98 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $19.50 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $11.48 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.77 | $11.48 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $851.14 | Facility | None | $331.13 | $501.19 | $851.14 |
Emblem Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,467.37 | Professional | None | $3,090.30 | $3,090.30 | $3,467.37 |
Geisinger Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $660.69 | Facility | None | $302.00 | $380.19 | $660.69 |
Geisinger Setting Professional Modifier None Typical Low $181.97 Median $2,089.30 Typical High $3,235.94 | Professional | None | $181.97 | $2,089.30 | $3,235.94 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $151.36 | Professional | None | $97.72 | $114.82 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $57.54 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $22.91 | $25.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $19.05 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $14.79 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $2,344.23 | Professional | None | $3.02 | $3.02 | $2,344.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $338.84 | Professional | None | $131.83 | $169.82 | $338.84 |
Where Pennsylvania sits
The same service costs 24.5 times more in Texas than in Missouri. 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
$257
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.