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 Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | None | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
CareSource Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | None | $407.38 | $407.38 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $912.01 | Facility | None | $380.19 | $380.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $3,311.31 | Professional | None | $275.42 | $275.42 | $3,311.31 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $676.08 | Facility | None | $389.05 | $467.74 | $676.08 |
United Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $645.65 | Professional | None | $269.15 | $331.13 | $645.65 |
Where West Virginia sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 46th of 51
$302
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.