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 $26.30 Median $26.30 Typical High $61.66 | Facility | None | $26.30 | $26.30 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $30.90 | Professional | None | $26.30 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $13.18 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.25 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $3.98 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.63 | $3.09 | $3.09 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $85.11 | Facility | None | $30.90 | $38.02 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $36.31 | Professional | None | $30.20 | $31.62 | $36.31 |
Where West Virginia sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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· 14th of 51
$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.