How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $4Professionalmedian $1 · 10th to 90th $1 to $3
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 $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | 52 · Reduced service | $0.72 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
CareSource Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Facility | None | $1.70 | $1.70 | $1.70 |
CareSource Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $3.09 | Professional | None | $1.82 | $1.82 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $1.55 Typical High $3.63 | Facility | None | $1.55 | $1.55 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $12.88 | Professional | None | $1.32 | $1.32 | $12.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.55 Typical High $2.88 | Professional | None | $1.26 | $1.55 | $2.88 |
Where West Virginia sits
The same service costs 2.3 times more in Kansas 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· 38th of 51
$1.45
KS $3.09NJ $1.32
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.