How much rates vary
Facilitymedian $759 · 10th to 90th $129 to $1,413Professionalmedian $224 · 10th to 90th $87 to $759
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $645.65 | Professional | None | $89.13 | $117.49 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $58.88 Typical High $323.59 | Professional | 52 · Reduced service | $44.67 | $58.88 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.44 Typical High $128.82 | Professional | 53 · Discontinued | $17.78 | $23.44 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $89.13 Typical High $489.78 | Professional | 54 · Surgery only | $67.61 | $89.13 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $17.78 Typical High $97.72 | Professional | 55 · Aftercare only | $13.49 | $17.78 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $11.75 Typical High $64.57 | Professional | 56 · Pre-op care only | $8.91 | $11.75 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $537.03 Typical High $3,467.37 | Professional | None | $87.10 | $537.03 | $3,467.37 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $75.86 Median $199.53 Typical High $407.38 | Professional | None | $75.86 | $199.53 | $407.38 |
Where West Virginia sits
The same service costs 9.5 times more in Washington 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· 27th of 51
$224
WA $933DC $97.72
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.