How much rates vary
Facilitymedian $65 · 10th to 90th $59 to $68Professionalmedian $65 · 10th to 90th $48 to $93
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 $50.12 Median $66.07 Typical High $66.07 | Professional | None | $50.12 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $25.12 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.00 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $7.41 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.01 | $6.61 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $109.65 | Professional | None | $63.10 | $63.10 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $125.89 | Facility | None | $64.57 | $64.57 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $446.68 | Professional | None | $54.95 | $54.95 | $446.68 |
United Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $112.20 | Professional | None | $47.86 | $64.57 | $112.20 |
Where West Virginia sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 24th of 51
$64.57
HI $115RI $46.77
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.