How much rates vary
Facilitymedian $282 · 10th to 90th $257 to $316Professionalmedian $257 · 10th to 90th $251 to $372
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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | None | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $316.23 | Facility | None | $257.04 | $281.84 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $1,348.96 | Professional | None | $257.04 | $257.04 | $1,348.96 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $371.54 | Professional | None | $186.21 | $251.19 | $371.54 |
Where West Virginia sits
The same service costs 4.1 times more in Alaska than in Montana. 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· 11th of 51
$257
AK $407MT $100
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.