How much rates vary
Facilitymedian $81 · 10th to 90th $54 to $107Professionalmedian $56 · 10th to 90th $54 to $69
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 $53.70 Median $53.70 Typical High $107.15 | Facility | None | $53.70 | $53.70 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | None | $53.70 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $10.72 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $7.94 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.37 | $5.75 | $5.75 |
CareSource Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $107.15 | Facility | None | $56.23 | $85.11 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $69.18 | Professional | None | $53.70 | $58.88 | $69.18 |
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· 16th of 51
$56.23
AK $69.18AL $56.23
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.