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 $37.15 Median $50.12 Typical High $69.18 | Facility | None | $37.15 | $50.12 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $69.18 | Professional | None | $28.84 | $28.84 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $34.67 | Professional | 52 · Reduced service | $14.45 | $14.45 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $13.80 | Professional | 53 · Discontinued | $5.75 | $5.75 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $10.47 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $6.92 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $85.11 | Facility | None | $28.84 | $42.66 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $51.29 | Professional | None | $24.55 | $27.54 | $51.29 |
Where West Virginia sits
The same service costs 2.8 times more in Wyoming than in Arizona. 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· 18th of 51
$28.84
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.