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 $234.42 Median $1,348.96 Typical High $5,248.07 | Facility | Global | $234.42 | $1,348.96 | $5,248.07 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $218.78 | Facility | 54 · Surgery only | $173.78 | $173.78 | $218.78 |
Aetna Setting Professional Modifier Global Typical Low $218.78 Median $281.84 Typical High $371.54 | Professional | Global | $218.78 | $281.84 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $208.93 Typical High $275.42 | Professional | 54 · Surgery only | $165.96 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $42.66 Typical High $56.23 | Professional | 55 · Aftercare only | $33.11 | $42.66 | $56.23 |
CareSource Setting Facility Modifier Global Typical Low $239.88 Median $288.40 Typical High $288.40 | Facility | Global | $239.88 | $288.40 | $288.40 |
CareSource Setting Professional Modifier Global Typical Low $257.04 Median $263.03 Typical High $338.84 | Professional | Global | $257.04 | $263.03 | $338.84 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $354.81 Typical High $354.81 | Facility | Global | $34.67 | $354.81 | $354.81 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $223.87 Median $371.54 Typical High $2,238.72 | Professional | Global | $223.87 | $371.54 | $2,238.72 |
Highmark BCBS Setting Facility Modifier Global Typical Low $1,584.89 Median $2,344.23 Typical High $3,311.31 | Facility | Global | $1,584.89 | $2,344.23 | $3,311.31 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | 50 · Both sides | $2,818.38 | $2,818.38 | $2,818.38 |
Highmark BCBS Setting Professional Modifier Global Typical Low $323.59 Median $398.11 Typical High $537.03 | Professional | Global | $323.59 | $398.11 | $537.03 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 50 · Both sides | $812.83 | $812.83 | $812.83 |
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 $199.53 Median $363.08 Typical High $575.44 | Professional | Global | $199.53 | $363.08 | $575.44 |
Where West Virginia sits
The same service costs 3.4 times more in Wyoming 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
$295
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.