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 $16.60 Median $16.60 Typical High $19.05 | Professional | None | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $2.82 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $1.66 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.66 | $1.66 | $1.91 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $85.11 | Professional | None | $20.42 | $20.89 | $85.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Facility | None | $125.89 | $125.89 | $186.21 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.90 Typical High $63.10 | Professional | None | $19.50 | $30.90 | $63.10 |
Where West Virginia sits
The same service costs 2.5 times more in Iowa than in Pennsylvania. 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· 49th of 51
$23.44
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.