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 $660.69 Median $4,073.80 Typical High $8,511.38 | Facility | None | $660.69 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $489.78 | Professional | None | $331.13 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $165.96 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $302.00 Typical High $309.03 | Professional | 54 · Surgery only | $245.47 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $60.26 Typical High $61.66 | Professional | 55 · Aftercare only | $48.98 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $33.11 | $40.74 | $40.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $10,715.19 Typical High $12,022.64 | Facility | None | $3,981.07 | $10,715.19 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $12,302.69 | Facility | None | $501.19 | $2,691.53 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $436.52 Typical High $724.44 | Professional | None | $223.87 | $436.52 | $724.44 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Geisinger Setting Facility Modifier None Typical Low $7,585.78 Median $9,332.54 Typical High $16,595.87 | Facility | None | $7,585.78 | $9,332.54 | $16,595.87 |
Geisinger Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $8,317.64 | Facility | None | $724.44 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $478.63 | Professional | None | $331.13 | $407.38 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $165.96 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $245.47 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $48.98 | $60.26 | $60.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $33.11 | $40.74 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $426.58 | Professional | None | $3.02 | $3.02 | $426.58 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $6,025.60 | Facility | None | $812.83 | $1,318.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $758.58 | Professional | None | $354.81 | $446.68 | $758.58 |
Where Pennsylvania sits
The same service costs 5.9 times more in Arkansas than in New York. 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· 44th of 51
$550
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.