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 $691.83 Median $3,235.94 Typical High $8,511.38 | Facility | None | $691.83 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $691.83 | Professional | None | $562.34 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $346.74 | Professional | 52 · Reduced service | $281.84 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $138.04 | Professional | 53 · Discontinued | $112.20 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $467.74 Typical High $512.86 | Professional | 54 · Surgery only | $416.87 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $102.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $69.18 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $69.18 |
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 $1,659.59 Typical High $2,754.23 | Facility | None | $501.19 | $1,659.59 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $371.54 Typical High $1,148.15 | Professional | None | $151.36 | $371.54 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,096.48 | Professional | None | $933.25 | $933.25 | $1,096.48 |
Geisinger Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,659.59 | $2,089.30 | $3,630.78 |
Geisinger Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $8,317.64 | Facility | None | $724.44 | $2,818.38 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $691.83 | Professional | None | $562.34 | $645.65 | $691.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $346.74 | Professional | 52 · Reduced service | $281.84 | $309.03 | $346.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $138.04 | Professional | 53 · Discontinued | $112.20 | $123.03 | $138.04 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $467.74 Typical High $512.86 | Professional | 54 · Surgery only | $416.87 | $467.74 | $512.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $102.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $102.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $69.18 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $724.44 | Professional | None | $3.02 | $3.02 | $724.44 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,897.79 | Facility | None | $812.83 | $1,318.26 | $4,897.79 |
United Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,288.25 | Professional | None | $602.56 | $776.25 | $1,288.25 |
Where Pennsylvania sits
The same service costs 53.7 times more in Alaska 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· 36th of 51
$724
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.