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 $194.98 Median $194.98 Typical High $229.09 | Professional | None | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 54 · Surgery only | $147.91 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $11,748.98 Typical High $22,387.21 | Facility | None | $501.19 | $11,748.98 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Geisinger Setting Facility Modifier None Typical Low $12,022.64 Median $15,135.61 Typical High $26,302.68 | Facility | None | $12,022.64 | $15,135.61 | $26,302.68 |
Geisinger Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $338.84 | Professional | None | $134.90 | $134.90 | $338.84 |
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 $194.98 Median $194.98 Typical High $229.09 | Professional | None | $194.98 | $194.98 | $229.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 52 · Reduced service | $97.72 | $97.72 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $38.90 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 54 · Surgery only | $147.91 | $147.91 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.50 | $19.50 | $22.91 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $10,715.19 | Facility | None | $1,698.24 | $3,235.94 | $10,715.19 |
United Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $436.52 | Professional | None | $245.47 | $346.74 | $436.52 |
Where Pennsylvania sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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· 43rd of 51
$263
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.