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 $758.58 Median $2,570.40 Typical High $8,317.64 | Facility | None | $758.58 | $2,570.40 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $3,235.94 | Professional | None | $2,344.23 | $3,162.28 | $3,235.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,584.89 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,348.96 | $1,584.89 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $630.96 Typical High $645.65 | Professional | 53 · Discontinued | $537.03 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,398.83 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,995.26 | $2,398.83 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $478.63 Typical High $489.78 | Professional | 55 · Aftercare only | $407.38 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $316.23 Typical High $323.59 | Professional | 56 · Pre-op care only | $269.15 | $316.23 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $1,513.56 | Facility | None | $501.19 | $812.83 | $1,513.56 |
Emblem Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,584.89 | Facility | None | $724.44 | $891.25 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $4,365.16 | Professional | None | $501.19 | $501.19 | $4,365.16 |
Martin's Point Setting Facility Modifier None Typical Low $758.58 Median $2,511.89 Typical High $7,244.36 | Facility | None | $758.58 | $2,511.89 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,570.40 | $3,162.28 | $3,162.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,348.96 | $1,584.89 | $1,584.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $537.03 | $630.96 | $630.96 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,995.26 | $2,398.83 | $2,398.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $407.38 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $269.15 | $316.23 | $316.23 |
Oscar 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 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,630.78 | Facility | None | $416.87 | $724.44 | $3,630.78 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $7,244.36 | Professional | None | $3,467.37 | $3,981.07 | $7,244.36 |
Where Pennsylvania sits
The same service costs 3.5 times more in Indiana than in Maryland. 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· 37th of 51
$2,692
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.