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 $5,128.61 Median $5,128.61 Typical High $10,000.00 | Facility | None | $5,128.61 | $5,128.61 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $5,128.61 | Professional | None | $4,786.30 | $5,011.87 | $5,128.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,398.83 Median $2,511.89 Typical High $2,570.40 | Professional | 52 · Reduced service | $2,398.83 | $2,511.89 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,000.00 Typical High $1,023.29 | Professional | 53 · Discontinued | $954.99 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $741.31 Typical High $758.58 | Professional | 55 · Aftercare only | $724.44 | $741.31 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $501.19 Typical High $512.86 | Professional | 56 · Pre-op care only | $478.63 | $501.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $6,165.95 Typical High $6,309.57 | Facility | None | $5,011.87 | $6,165.95 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $5,888.44 | Professional | None | $4,897.79 | $5,128.61 | $5,888.44 |
Where West Virginia sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 42nd of 51
$5,012
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.