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 $1,174.90 Median $6,606.93 Typical High $12,302.69 | Facility | None | $1,174.90 | $6,606.93 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,000.00 | $1,174.90 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $588.84 Typical High $691.83 | Professional | 52 · Reduced service | $489.78 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $234.42 Typical High $275.42 | Professional | 53 · Discontinued | $199.53 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $173.78 Typical High $204.17 | Professional | 55 · Aftercare only | $147.91 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $117.49 Typical High $138.04 | Professional | 56 · Pre-op care only | $100.00 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,265.80 Typical High $7,413.10 | Facility | None | $501.19 | $4,265.80 | $7,413.10 |
Emblem Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,737.80 | $1,737.80 | $2,951.21 |
Geisinger Setting Facility Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $9,772.37 | Facility | None | $4,466.84 | $5,623.41 | $9,772.37 |
Geisinger Setting Professional Modifier None Typical Low $251.19 Median $1,096.48 Typical High $1,659.59 | Professional | None | $251.19 | $1,096.48 | $1,659.59 |
Martin's Point Setting Facility Modifier None Typical Low $1,288.25 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,288.25 | $6,165.95 | $12,589.25 |
Martin's Point Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,174.90 | $1,513.56 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $489.78 | $588.84 | $630.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | 55 · Aftercare only | $147.91 | $173.78 | $190.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $117.49 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,584.89 | Professional | None | $288.40 | $288.40 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $8,511.38 | Facility | None | $1,698.24 | $3,235.94 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,698.24 | $2,691.53 |
Where Pennsylvania sits
The same service costs 9.1 times more in Oklahoma 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· 39th of 51
$1,862
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.