How much rates vary
Facilitymedian $41 · 10th to 90th $41 to $110Professionalmedian $39 · 10th to 90th $30 to $83
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 $37.15 Median $38.90 Typical High $38.90 | Professional | None | $37.15 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $3.89 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | None | $56.23 | $56.23 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $109.65 | Facility | None | $40.74 | $40.74 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $346.74 | Professional | None | $29.51 | $29.51 | $346.74 |
United Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $72.44 | Facility | None | $36.31 | $40.74 | $72.44 |
United Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $83.18 | Professional | None | $33.88 | $42.66 | $83.18 |
Where West Virginia sits
The same service costs 2.7 times more in Montana 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· 32nd of 51
$38.90
MT $83.18DE $30.90
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.