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 $20.42 Median $20.42 Typical High $64.57 | Facility | None | $20.42 | $20.42 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $48.98 Typical High $58.88 | Professional | None | $18.62 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $19.05 Typical High $29.51 | Professional | 52 · Reduced service | $9.33 | $19.05 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $7.59 Typical High $11.75 | Professional | 53 · Discontinued | $3.72 | $7.59 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $5.62 Typical High $8.91 | Professional | 55 · Aftercare only | $2.82 | $5.62 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $3.80 Typical High $5.89 | Professional | 56 · Pre-op care only | $1.86 | $3.80 | $5.89 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $107.15 | Professional | None | $67.61 | $74.13 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $66.07 Typical High $169.82 | Professional | None | $19.95 | $66.07 | $169.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $218.78 | Facility | None | $165.96 | $199.53 | $218.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $15.14 Median $42.66 Typical High $91.20 | Professional | None | $15.14 | $42.66 | $91.20 |
Where West Virginia sits
The same service costs 4.9 times more in Hawaii than in Washington, DC. 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
$48.98
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.