How much rates vary
Facilitymedian $589 · 10th to 90th $83 to $4,467Professionalmedian $170 · 10th to 90th $162 to $372
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 $162.18 Median $169.82 Typical High $234.42 | Professional | None | $162.18 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $32.36 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $128.82 Typical High $138.04 | Professional | 54 · Surgery only | $120.23 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $27.54 | Professional | 55 · Aftercare only | $24.55 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $18.62 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $18.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Facility | None | $457.09 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $407.38 | Professional | None | $177.83 | $218.78 | $407.38 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $316.23 | Professional | None | $100.00 | $100.00 | $316.23 |
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 $162.18 Median $169.82 Typical High $234.42 | Professional | None | $162.18 | $169.82 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $120.23 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $24.55 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $16.98 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $346.74 | Professional | None | $269.15 | $316.23 | $346.74 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $389.05 | Professional | None | $154.88 | $218.78 | $389.05 |
Where Pennsylvania sits
The same service costs 7.2 times more in Oklahoma than in Virginia. 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· 49th of 51
$178
OK $1,000VA $138
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.