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 $79.43 Median $81.28 Typical High $81.28 | Professional | None | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.75 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.94 | $8.13 | $8.13 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | None | $95.50 | $95.50 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $208.93 | Facility | None | $87.10 | $87.10 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $741.31 | Professional | None | $63.10 | $63.10 | $741.31 |
United Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $158.49 | Facility | None | $39.81 | $69.18 | $158.49 |
United Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $177.83 | Professional | None | $74.13 | $91.20 | $177.83 |
Where West Virginia sits
The same service costs 2.5 times more in Arkansas 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· 41st of 51
$81.28
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.