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 $2.24 Median $2.24 Typical High $5.37 | Facility | None | $2.24 | $2.24 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $5.37 | Professional | None | $2.04 | $2.04 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.02 Typical High $2.69 | Professional | 52 · Reduced service | $1.00 | $1.02 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.41 Typical High $1.07 | Professional | 53 · Discontinued | $0.40 | $0.41 | $1.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.31 Typical High $0.81 | Professional | 55 · Aftercare only | $0.30 | $0.31 | $0.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.54 |
CareSource Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.57 | Professional | None | $2.00 | $2.00 | $2.57 |
Highmark BCBS Setting Facility Modifier None Typical Low $2.45 Median $5.37 Typical High $21.38 | Facility | None | $2.45 | $5.37 | $21.38 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.29 Typical High $4.07 | Professional | None | $2.04 | $2.29 | $4.07 |
Where West Virginia sits
The same service costs 2.1 times more in Wyoming than in Delaware. 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· 20th of 51
$2.19
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.