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 Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Facility | None | $79.43 | $79.43 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $120.23 | Professional | None | $75.86 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $60.26 | Professional | 52 · Reduced service | $36.31 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $18.20 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.94 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.24 | $7.94 | $12.02 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $123.03 | Professional | None | $83.18 | $112.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $158.49 | Professional | None | $50.12 | $91.20 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Highmark BCBS Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $120.23 | Professional | None | $102.33 | $109.65 | $120.23 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $107.15 | Professional | None | $50.12 | $74.13 | $107.15 |
Where West Virginia sits
The same service costs 4.3 times more in Alaska than in North Carolina. 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· 41st of 51
$83.18
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.