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 $144.54 Median $151.36 Typical High $151.36 | Professional | None | $144.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $21.88 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.45 | $15.14 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $354.81 | Professional | None | $204.17 | $204.17 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $457.09 | Facility | None | $190.55 | $190.55 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $1,621.81 | Professional | None | $138.04 | $138.04 | $1,621.81 |
Highmark BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $338.84 | Facility | None | $190.55 | $194.98 | $338.84 |
United Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $331.13 | Professional | None | $138.04 | $165.96 | $331.13 |
Where West Virginia sits
The same service costs 3.5 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· 47th of 51
$151
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.