How much rates vary
Facilitymedian $74 · 10th to 90th $74 to $81Professionalmedian $81 · 10th to 90th $74 to $102
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $74.13 Median $74.13 Typical High $81.28 | Facility | None | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | None | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $37.15 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.79 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.22 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.41 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $173.78 Median $218.78 Typical High $223.87 | Professional | None | $173.78 | $218.78 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $208.93 | Professional | None | $117.49 | $147.91 | $208.93 |
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 $74.13 Median $81.28 Typical High $81.28 | Professional | None | $74.13 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $37.15 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.79 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.22 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.41 | $8.13 | $8.13 |
Where Pennsylvania sits
The same service costs 83.2 times more in North Dakota than in Kansas. 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
$81.28
ND $251KS $3.02
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.