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 $64.57 Median $64.57 Typical High $87.10 | Facility | None | $64.57 | $64.57 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | None | $40.74 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.13 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.07 | $4.37 | $4.37 |
CareSource Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $37.15 Typical High $47.86 | Facility | None | $30.20 | $37.15 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $46.77 | Professional | None | $40.74 | $42.66 | $46.77 |
Where West Virginia sits
The same service costs 2.0 times more in Alaska than in New Mexico. 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· 15th of 51
$42.66
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.