How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $229.09 Median $467.74 Typical High $891.25 | Facility | Global | $229.09 | $467.74 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $239.88 Typical High $239.88 | Facility | 54 · Surgery only | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier Global Typical Low $316.23 Median $630.96 Typical High $724.44 | Professional | Global | $316.23 | $630.96 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $281.84 | Professional | 54 · Surgery only | $218.78 | $263.03 | $281.84 |
CareSource Setting Facility Modifier Global Typical Low $309.03 Median $416.87 Typical High $426.58 | Facility | Global | $309.03 | $416.87 | $426.58 |
CareSource Setting Professional Modifier Global Typical Low $323.59 Median $389.05 Typical High $524.81 | Professional | Global | $323.59 | $389.05 | $524.81 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $575.44 Typical High $575.44 | Facility | Global | $34.67 | $575.44 | $575.44 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier Global Typical Low $316.23 Median $426.58 Typical High $1,862.09 | Professional | Global | $316.23 | $426.58 | $1,862.09 |
Highmark BCBS Setting Facility Modifier Global Typical Low $194.98 Median $660.69 Typical High $1,174.90 | Facility | Global | $194.98 | $660.69 | $1,174.90 |
Highmark BCBS Setting Professional Modifier Global Typical Low $501.19 Median $549.54 Typical High $776.25 | Professional | Global | $501.19 | $549.54 | $776.25 |
United Setting Facility Modifier Global Typical Low $151.36 Median $457.09 Typical High $977.24 | Facility | Global | $151.36 | $457.09 | $977.24 |
United Setting Professional Modifier Global Typical Low $218.78 Median $323.59 Typical High $549.54 | Professional | Global | $218.78 | $323.59 | $549.54 |
United Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 54 · Surgery only | $85.11 | $85.11 | $85.11 |
Where West Virginia sits
The same service costs 2.7 times more in Wisconsin than in Kentucky. 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.
West Virginia· 5th of 51
$603
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.