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 $354.81 Median $371.54 Typical High $371.54 | Professional | None | $354.81 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $177.83 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $70.79 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $53.70 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $35.48 | $37.15 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | None | $446.68 | $446.68 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,000.00 | Facility | None | $398.11 | $398.11 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $3,548.13 | Professional | None | $295.12 | $295.12 | $3,548.13 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $741.31 | Facility | None | $295.12 | $331.13 | $741.31 |
United Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $812.83 | Professional | None | $338.84 | $407.38 | $812.83 |
Where West Virginia sits
The same service costs 3.0 times more in Montana 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· 36th of 51
$372
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.