How much rates vary
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 $173.78 Median $218.78 Typical High $218.78 | Facility | None | $173.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $218.78 | Professional | None | $173.78 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None | $181.97 | $181.97 | $263.03 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $218.78 | Professional | None | $173.78 | $173.78 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | 52 · Reduced service | $87.10 | $87.10 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $34.67 | $43.65 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $21.88 |
United Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $331.13 | Professional | None | $173.78 | $204.17 | $331.13 |
Where Pennsylvania sits
The same service costs 6.6 times more in Alabama 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· 39th of 51
$191
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.