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 $1.29 Median $2.63 Typical High $2.63 | Professional | None | $1.29 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 52 · Reduced service | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
CareSource Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $5.75 | Professional | None | $3.31 | $3.31 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $6.61 | Facility | None | $2.82 | $2.82 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $23.44 | Professional | None | $2.40 | $2.40 | $23.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.39 | Professional | None | $3.31 | $3.31 | $3.39 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $5.25 | Professional | None | $2.24 | $2.82 | $5.25 |
Where West Virginia sits
The same service costs 2.2 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· 44th of 51
$2.63
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.