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 $72.44 Median $4,897.79 Typical High $8,511.38 | Facility | None | $72.44 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $97.72 | Professional | None | $60.26 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $36.31 Typical High $43.65 | Professional | 52 · Reduced service | $30.20 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.45 Typical High $17.38 | Professional | 53 · Discontinued | $12.02 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $12.88 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.24 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.03 | $7.24 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $8,511.38 | Facility | None | $380.19 | $691.83 | $8,511.38 |
Emblem Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Geisinger Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $3,388.44 | Professional | None | $588.84 | $588.84 | $3,388.44 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $89.13 | Professional | None | $60.26 | $72.44 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $36.31 | $37.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.45 Typical High $14.79 | Professional | 53 · Discontinued | $12.02 | $14.45 | $14.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $11.22 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $11.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.24 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.03 | $7.24 | $7.41 |
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 $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $194.98 | Professional | None | $74.13 | $107.15 | $194.98 |
Where Pennsylvania sits
The same service costs 30.9 times more in California than in Idaho. 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
$166
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.