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 $398.11 Median $407.38 Typical High $407.38 | Professional | None | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,096.48 | Professional | None | $645.65 | $645.65 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,258.93 | Facility | None | $457.09 | $457.09 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $3,981.07 | Professional | None | $338.84 | $338.84 | $3,981.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Highmark BCBS Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $645.65 | Professional | None | $562.34 | $602.56 | $645.65 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $794.33 | Facility | None | $407.38 | $407.38 | $794.33 |
United Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $891.25 | Professional | None | $371.54 | $457.09 | $891.25 |
Where West Virginia sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 43rd of 51
$407
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.