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 $12.88 Median $12.88 Typical High $20.89 | Facility | None | $12.88 | $12.88 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $13.80 | Professional | None | $11.48 | $11.75 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.89 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.89 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.34 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $1.78 Typical High $2.09 | Professional | 55 · Aftercare only | $1.74 | $1.78 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.17 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.15 | $1.17 | $1.38 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $17.38 Typical High $21.88 | Facility | None | $11.48 | $17.38 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $24.55 | Professional | None | $13.80 | $15.49 | $24.55 |
Where West Virginia sits
The same service costs 1.8 times more in Alaska than in Kentucky. 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
$13.80
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.