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 $0.22 Median $0.22 Typical High $0.95 | Facility | None | $0.22 | $0.22 | $0.95 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.95 | Professional | None | $0.20 | $0.20 | $0.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.48 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.19 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.14 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.10 |
CareSource Setting Professional Modifier None Typical Low $0.19 Median $0.19 Typical High $0.25 | Professional | None | $0.19 | $0.19 | $0.25 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.30 Typical High $0.38 | Facility | None | $0.20 | $0.30 | $0.38 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Facility | None | $0.98 | $0.98 | $0.98 |
United Setting Professional Modifier None Typical Low $0.16 Median $0.18 Typical High $4.07 | Professional | None | $0.16 | $0.18 | $4.07 |
Where West Virginia sits
The same service costs 3.8 times more in Wyoming than in Michigan. 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· 50th of 51
$0.20
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.