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 Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | None | $24.55 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $4.90 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.72 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.45 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $251.19 | Facility | None | $35.48 | $35.48 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $125.89 | Professional | None | $17.38 | $23.44 | $125.89 |
United Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $60.26 | Professional | None | $17.78 | $29.51 | $60.26 |
Where West Virginia sits
The same service costs 2.8 times more in New York than in Georgia. 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· 27th of 51
$26.30
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.