How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | 52 · Reduced service | $0.50 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.10 |
CareSource Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | None | $1.17 | $1.17 | $1.17 |
CareSource Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $2.14 | Professional | None | $1.26 | $1.26 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $2.51 | Facility | None | $1.10 | $1.10 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $0.93 Median $0.93 Typical High $8.91 | Professional | None | $0.93 | $0.93 | $8.91 |
United Setting Professional Modifier None Typical Low $0.87 Median $1.10 Typical High $2.04 | Professional | None | $0.87 | $1.10 | $2.04 |
Where West Virginia sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 39th of 51
$1.00
HI $1.95NJ $0.93
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.