How much rates vary
Facilitymedian $39 · 10th to 90th $29 to $85Professionalmedian $32 · 10th to 90th $31 to $37
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 $28.84 Median $28.84 Typical High $63.10 | Facility | None | $28.84 | $28.84 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | None | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.75 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.37 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.88 | $3.16 | $3.16 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $85.11 | Facility | None | $31.62 | $38.90 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $37.15 | Professional | None | $30.90 | $33.88 | $37.15 |
Where West Virginia sits
Rates are fairly even across states for this service. 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· 29th of 51
$31.62
AK $45.71AZ $30.90
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.