How much rates vary
Facilitymedian $214 · 10th to 90th $214 to $339Professionalmedian $170 · 10th to 90th $148 to $380
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 $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | None | $169.82 | $169.82 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $338.84 | Facility | None | $213.80 | $213.80 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $1,148.15 | Professional | None | $158.49 | $158.49 | $1,148.15 |
United Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $346.74 | Facility | None | $213.80 | $234.42 | $346.74 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $380.19 | Professional | None | $151.36 | $194.98 | $380.19 |
Where West Virginia sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 40th of 51
$170
HI $437UT $151
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.