How much rates vary
Facilitymedian $339 · 10th to 90th $224 to $427Professionalmedian $229 · 10th to 90th $224 to $257
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 $223.87 Median $223.87 Typical High $446.68 | Facility | None | $223.87 | $223.87 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | None | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $33.11 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $22.39 | $22.91 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $426.58 | Facility | None | $229.09 | $338.84 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $257.04 | Professional | None | $223.87 | $245.47 | $257.04 |
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· 20th of 51
$229
AK $282TN $229
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.