How much rates vary
Facilitymedian $3,631 · 10th to 90th $724 to $8,318Professionalmedian $98 · 10th to 90th $83 to $204
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 $97.72 Median $4,897.79 Typical High $8,511.38 | Facility | None | $97.72 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $120.23 | Professional | None | $83.18 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | 52 · Reduced service | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | 54 · Surgery only | $61.66 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $10.00 |
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 $83.18 Median $83.18 Typical High $117.49 | Professional | None | $83.18 | $83.18 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $41.69 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.50 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | 54 · Surgery only | $61.66 | $61.66 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $14.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.77 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $7,413.10 | Facility | None | $1,659.59 | $3,311.31 | $7,413.10 |
United Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $218.78 | Professional | None | $107.15 | $144.54 | $218.78 |
Where Pennsylvania sits
The same service costs 51.3 times more in Oklahoma 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· 41st of 51
$158
OK $5,754KY $112
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.