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 $3.24 Median $3.24 Typical High $10.23 | Facility | None | $3.24 | $3.24 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $10.23 | Professional | None | $2.88 | $2.88 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.45 Typical High $5.13 | Professional | 52 · Reduced service | $1.45 | $1.45 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.58 Typical High $2.04 | Professional | 53 · Discontinued | $0.58 | $0.58 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.44 Typical High $1.55 | Professional | 55 · Aftercare only | $0.43 | $0.44 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $1.02 |
CareSource Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.07 | Professional | None | $3.16 | $3.16 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $4.27 Typical High $5.50 | Facility | None | $2.88 | $4.27 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.32 Median $8.51 Typical High $13.80 | Facility | None | $8.32 | $8.51 | $13.80 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.47 Typical High $11.48 | Professional | None | $3.24 | $3.47 | $11.48 |
Where West Virginia sits
The same service costs 3.1 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· 44th of 51
$2.88
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.