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 $977.24 Median $5,754.40 Typical High $10,232.93 | Facility | None | $977.24 | $5,754.40 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,174.90 | Professional | None | $831.76 | $977.24 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $489.78 Typical High $524.81 | Professional | 52 · Reduced service | $416.87 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $208.93 | Professional | 53 · Discontinued | $165.96 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $147.91 Typical High $154.88 | Professional | 55 · Aftercare only | $125.89 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $104.71 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $2,691.53 | Facility | None | $457.09 | $630.96 | $2,691.53 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,495.41 Typical High $10,232.93 | Facility | None | $1,023.29 | $5,495.41 | $10,232.93 |
Martin's Point Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,174.90 | Professional | None | $831.76 | $977.24 | $1,174.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $489.78 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $489.78 | $501.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $165.96 | $194.98 | $204.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $147.91 Typical High $151.36 | Professional | 55 · Aftercare only | $125.89 | $147.91 | $151.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $102.33 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $102.33 |
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 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $14,454.40 | Facility | None | $2,818.38 | $5,495.41 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,023.29 | $1,445.44 | $2,344.23 |
Where Pennsylvania sits
The same service costs 18.2 times more in California 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· 47th 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.