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 $47.86 Median $50.12 Typical High $50.12 | Professional | None | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.01 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | None | $77.62 | $77.62 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $151.36 | Facility | None | $63.10 | $63.10 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $489.78 | Professional | None | $45.71 | $45.71 | $489.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $100.00 | Facility | None | $56.23 | $58.88 | $100.00 |
United Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $109.65 | Professional | None | $45.71 | $54.95 | $109.65 |
Where West Virginia sits
The same service costs 3.2 times more in Hawaii 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· 47th of 51
$50.12
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.