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 $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | 55 · Aftercare only | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.50 | $0.50 | $0.50 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $6.31 | Facility | None | $5.89 | $5.89 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $10.96 | Professional | None | $6.31 | $6.31 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $12.59 | Facility | None | $5.50 | $5.50 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $44.67 | Professional | None | $4.68 | $4.68 | $44.67 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.50 Typical High $10.23 | Professional | None | $4.37 | $5.50 | $10.23 |
Where West Virginia sits
The same service costs 2.3 times more in Kansas than in Alabama. 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
$5.01
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.