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 $575.44 Median $602.56 Typical High $602.56 | Professional | None | $575.44 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $288.40 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
CareSource Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | None | $794.33 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,621.81 | Facility | None | $741.31 | $741.31 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $5,754.40 | Professional | None | $537.03 | $537.03 | $5,754.40 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,202.26 | Facility | None | $645.65 | $691.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,288.25 | Professional | None | $549.54 | $660.69 | $1,288.25 |
Where West Virginia sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 42nd of 51
$603
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.