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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $69.18 | Professional | None | $40.74 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $169.82 | Professional | None | $97.72 | $97.72 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $194.98 | Facility | None | $77.62 | $77.62 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $676.08 | Professional | None | $56.23 | $56.23 | $676.08 |
United Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $141.25 | Facility | None | $60.26 | $81.28 | $141.25 |
United Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $151.36 | Professional | None | $63.10 | $75.86 | $151.36 |
Where West Virginia sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 45th of 51
$69.18
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.