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 $1.45 Median $1.45 Typical High $5.13 | Facility | None | $1.45 | $1.45 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $5.13 | Professional | None | $1.32 | $1.32 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.66 Median $0.66 Typical High $2.51 | Professional | 52 · Reduced service | $0.66 | $0.66 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $1.02 | Professional | 53 · Discontinued | $0.26 | $0.26 | $1.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.78 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.51 |
CareSource Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $1.95 Typical High $2.45 | Facility | None | $1.29 | $1.95 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.45 Typical High $2.63 | Professional | None | $1.32 | $1.45 | $2.63 |
Where West Virginia sits
The same service costs 1.9 times more in Wyoming than in Florida. 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· 21st of 51
$1.32
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.