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 Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | None | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $269.15 | Professional | None | $162.18 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $933.25 | Professional | None | $165.96 | $165.96 | $933.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,479.11 | Facility | None | $501.19 | $501.19 | $1,479.11 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $416.87 | Professional | None | $169.82 | $234.42 | $416.87 |
Where West Virginia sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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
$174
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.