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 $30.90 Median $36.31 Typical High $47.86 | Facility | None | $30.90 | $36.31 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $34.67 | Professional | None | $30.90 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.31 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $4.68 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.16 | $3.31 | $3.31 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | None | $30.20 | $30.20 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $61.66 | Facility | None | $33.11 | $48.98 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | None | $30.90 | $34.67 | $38.90 |
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· 23rd of 51
$33.11
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.