How much rates vary
Facilitymedian $512,861 · 10th to 90th $478,630 to $1,288,250Professionalmedian $524,807 · 10th to 90th $478,630 to $524,807
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 $512,861.38 Median $741,310.24 Typical High $1,288,249.55 | Facility | None | $512,861.38 | $741,310.24 | $1,288,249.55 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $257,039.58 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $257,039.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $102,329.30 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $102,329.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $77,624.71 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $77,624.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $51,286.14 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $51,286.14 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5,011.87 Median $512,861.38 Typical High $645,654.23 | Facility | None | $5,011.87 | $512,861.38 | $645,654.23 |
Capital Blue Cross Setting Professional Modifier None Typical Low $478,630.09 Median $524,807.46 Typical High $524,807.46 | Professional | None | $478,630.09 | $524,807.46 | $524,807.46 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $537,031.80 | Professional | None | $489,778.82 | $489,778.82 | $537,031.80 |
Emblem Health Setting Professional Modifier None Typical Low $416,869.38 Median $524,807.46 Typical High $691,830.97 | Professional | None | $416,869.38 | $524,807.46 | $691,830.97 |
Geisinger Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $524,807.46 | Facility | None | $512,861.38 | $512,861.38 | $524,807.46 |
Geisinger Setting Professional Modifier None Typical Low $512,861.38 Median $660,693.45 Typical High $933,254.30 | Professional | None | $512,861.38 | $660,693.45 | $933,254.30 |
Martin's Point Setting Facility Modifier None Typical Low $512,861.38 Median $741,310.24 Typical High $1,288,249.55 | Facility | None | $512,861.38 | $741,310.24 | $1,288,249.55 |
Martin's Point Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $257,039.58 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $257,039.58 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $102,329.30 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $102,329.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $77,624.71 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $77,624.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $51,286.14 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $51,286.14 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $512,861.38 Typical High $588,843.66 | Professional | None | $489,778.82 | $512,861.38 | $588,843.66 |
Where Pennsylvania sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 17th of 51
$524,807
TX $1,000,000NJ $489,779
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.