How much rates vary
Facilitymedian $72 · 10th to 90th $65 to $151Professionalmedian $60 · 10th to 90th $54 to $129
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 $57.54 Median $60.26 Typical High $60.26 | Professional | None | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $8.71 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.75 | $6.03 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | None | $69.18 | $69.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $151.36 | Facility | None | $72.44 | $72.44 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $537.03 | Professional | None | $53.70 | $53.70 | $537.03 |
United Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $112.20 | Facility | None | $47.86 | $64.57 | $112.20 |
United Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $128.82 | Professional | None | $52.48 | $66.07 | $128.82 |
Where West Virginia sits
The same service costs 3.2 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· 32nd of 51
$60.26
HI $166FL $52.48
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.