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 $724.44 Median $5,495.41 Typical High $9,332.54 | Facility | None | $724.44 | $5,495.41 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $831.76 | Professional | None | $457.09 | $537.03 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $251.19 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $100.00 Typical High $107.15 | Professional | 53 · Discontinued | $91.20 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $338.84 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $75.86 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $50.12 Typical High $53.70 | Professional | 56 · Pre-op care only | $45.71 | $50.12 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $33,113.11 | Facility | None | $501.19 | $2,691.53 | $33,113.11 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $20,417.38 Median $25,118.86 Typical High $44,668.36 | Facility | None | $20,417.38 | $25,118.86 | $44,668.36 |
Geisinger Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $501.19 | Professional | None | $208.93 | $208.93 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $5,128.61 Typical High $9,772.37 | Facility | None | $831.76 | $5,128.61 | $9,772.37 |
Martin's Point Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $776.25 | Professional | None | $457.09 | $537.03 | $776.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $91.20 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $338.84 | $407.38 | $407.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $45.71 | $53.70 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $15,135.61 Typical High $33,113.11 | Facility | None | $3,890.45 | $15,135.61 | $33,113.11 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,659.59 | Professional | None | $707.95 | $1,023.29 | $1,659.59 |
Where Pennsylvania sits
The same service costs 50.1 times more in Arkansas 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· 35th of 51
$1,318
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.