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 $204.17 Median $1,230.27 Typical High $1,905.46 | Facility | Global | $204.17 | $1,230.27 | $1,905.46 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $154.88 Median $165.96 Typical High $181.97 | Facility | 54 · Surgery only | $154.88 | $165.96 | $181.97 |
Aetna Setting Professional Modifier Global Typical Low $194.98 Median $245.47 Typical High $309.03 | Professional | Global | $194.98 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $630.96 Typical High $645.65 | Professional | 50 · Both sides | $575.44 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $181.97 Typical High $229.09 | Professional | 54 · Surgery only | $144.54 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $34.67 Typical High $45.71 | Professional | 55 · Aftercare only | $28.84 | $34.67 | $45.71 |
CareSource Setting Facility Modifier Global Typical Low $213.80 Median $251.19 Typical High $251.19 | Facility | Global | $213.80 | $251.19 | $251.19 |
CareSource Setting Professional Modifier Global Typical Low $218.78 Median $223.87 Typical High $288.40 | Professional | Global | $218.78 | $223.87 | $288.40 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $302.00 Typical High $302.00 | Facility | Global | $34.67 | $302.00 | $302.00 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 54 · Surgery only | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier Global Typical Low $186.21 Median $309.03 Typical High $2,089.30 | Professional | Global | $186.21 | $309.03 | $2,089.30 |
Highmark BCBS Setting Facility Modifier Global Typical Low $1,318.26 Median $1,318.26 Typical High $1,513.56 | Facility | Global | $1,318.26 | $1,318.26 | $1,513.56 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $2,570.40 Median $2,570.40 Typical High $3,019.95 | Facility | 50 · Both sides | $2,570.40 | $2,570.40 | $3,019.95 |
Highmark BCBS Setting Professional Modifier Global Typical Low $234.42 Median $354.81 Typical High $478.63 | Professional | Global | $234.42 | $354.81 | $478.63 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $549.54 Typical High $707.95 | Professional | 50 · Both sides | $501.19 | $549.54 | $707.95 |
United Setting Facility Modifier Global Typical Low $691.83 Median $954.99 Typical High $2,089.30 | Facility | Global | $691.83 | $954.99 | $2,089.30 |
United Setting Professional Modifier Global Typical Low $169.82 Median $295.12 Typical High $478.63 | Professional | Global | $169.82 | $295.12 | $478.63 |
Where West Virginia sits
The same service costs 2.6 times more in Alaska than in West Virginia. 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· 51st of 51
$257
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.