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 $61.66 Median $74.13 Typical High $74.13 | Facility | None | $61.66 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $77.62 | Professional | None | $61.66 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $30.90 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $12.30 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $11.22 Typical High $11.75 | Professional | 55 · Aftercare only | $9.33 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.41 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.17 | $7.41 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | None | $61.66 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $30.90 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.33 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.17 | $7.41 | $7.41 |
Oscar Health Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,023.29 | Professional | None | $758.58 | $851.14 | $1,023.29 |
United Setting Facility Modifier None Typical Low $676.08 Median $2,290.87 Typical High $6,760.83 | Facility | None | $676.08 | $2,290.87 | $6,760.83 |
United Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $131.83 | Professional | None | $70.79 | $79.43 | $131.83 |
Where Pennsylvania sits
The same service costs 12.6 times more in California 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· 45th of 51
$74.13
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.