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 $177.83 Median $177.83 Typical High $467.74 | Facility | None | $177.83 | $177.83 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $467.74 | Professional | None | $162.18 | $162.18 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $81.28 Typical High $234.42 | Professional | 52 · Reduced service | $79.43 | $81.28 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $93.33 | Professional | 53 · Discontinued | $32.36 | $32.36 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $24.55 Typical High $70.79 | Professional | 55 · Aftercare only | $23.99 | $24.55 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $16.22 Typical High $46.77 | Professional | 56 · Pre-op care only | $15.85 | $16.22 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | None | $177.83 | $177.83 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $302.00 | Facility | None | $162.18 | $239.88 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $363.08 | Professional | None | $177.83 | $194.98 | $363.08 |
Where West Virginia sits
The same service costs 1.9 times more in Wyoming than in Nevada. 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
$178
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.