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 $371.54 Median $371.54 Typical High $630.96 | Facility | None | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $371.54 | Professional | None | $309.03 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $158.49 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $45.71 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.20 | $31.62 | $37.15 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $398.11 | Facility | None | $177.83 | $177.83 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $371.54 | Professional | None | $309.03 | $331.13 | $371.54 |
Where West Virginia sits
The same service costs 2.3 times more in Alaska than in Montana. 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· 25th of 51
$324
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.