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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $389.05 | Professional | None | $288.40 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $151.36 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $57.54 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $223.87 Typical High $245.47 | Professional | 54 · Surgery only | $213.80 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $48.98 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $32.36 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,981.07 | Facility | None | $2,630.27 | $2,630.27 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $1,000.00 | Facility | None | $389.05 | $575.44 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $707.95 | Professional | None | $309.03 | $398.11 | $707.95 |
Emblem Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $831.76 | Facility | None | $380.19 | $467.74 | $831.76 |
Geisinger Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $549.54 | Professional | None | $147.91 | $147.91 | $549.54 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,344.23 Typical High $7,244.36 | Facility | None | $537.03 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $371.54 | Professional | None | $288.40 | $302.00 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $141.25 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $57.54 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $213.80 | $223.87 | $223.87 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $575.44 | Professional | None | $489.78 | $524.81 | $575.44 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $676.08 | Professional | None | $275.42 | $398.11 | $676.08 |
Where Pennsylvania sits
The same service costs 4.1 times more in Alaska 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· 46th of 51
$389
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.