How much rates vary
Facilitymedian $107 · 10th to 90th $44 to $170Professionalmedian $162 · 10th to 90th $91 to $309
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $43.65 Median $69.18 Typical High $169.82 | Facility | Global | $43.65 | $69.18 | $169.82 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $46.77 Median $158.49 Typical High $288.40 | Facility | 25 · Same-day visit | $46.77 | $158.49 | $288.40 |
Aetna Setting Professional Modifier Global Typical Low $91.20 Median $162.18 Typical High $309.03 | Professional | Global | $91.20 | $162.18 | $309.03 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $123.03 Median $204.17 Typical High $331.13 | Professional | 25 · Same-day visit | $123.03 | $204.17 | $331.13 |
CareSource Setting Facility Modifier Global Typical Low $123.03 Median $138.04 Typical High $169.82 | Facility | Global | $123.03 | $138.04 | $169.82 |
CareSource Setting Professional Modifier Global Typical Low $154.88 Median $165.96 Typical High $229.09 | Professional | Global | $154.88 | $165.96 | $229.09 |
Cigna Setting Facility Modifier Global Typical Low $181.97 Median $190.55 Typical High $190.55 | Facility | Global | $181.97 | $190.55 | $190.55 |
Cigna Setting Professional Modifier Global Typical Low $125.89 Median $173.78 Typical High $851.14 | Professional | Global | $125.89 | $173.78 | $851.14 |
Highmark BCBS Setting Professional Modifier Global Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | Global | $147.91 | $186.21 | $229.09 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $147.91 Median $177.83 Typical High $275.42 | Professional | 25 · Same-day visit | $147.91 | $177.83 | $275.42 |
United Setting Facility Modifier Global Typical Low $95.50 Median $141.25 Typical High $257.04 | Facility | Global | $95.50 | $141.25 | $257.04 |
United Setting Professional Modifier Global Typical Low $93.33 Median $151.36 Typical High $251.19 | Professional | Global | $93.33 | $151.36 | $251.19 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $89.13 Typical High $208.93 | Professional | 25 · Same-day visit | $79.43 | $89.13 | $208.93 |
Where West Virginia sits
Rates are fairly even across states for this service. 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· 33rd of 51
$162
MN $200DC $135
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.