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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,230.27 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $489.78 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,819.70 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $363.08 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $245.47 | $257.04 | $257.04 |
CareSource Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $4,786.30 | Facility | None | $2,570.40 | $3,801.89 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,691.53 | $2,951.21 |
Where West Virginia sits
Rates are fairly even across states for this service. 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· 12th of 51
$2,570
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.