How much rates vary
Facilitymedian $245 · 10th to 90th $204 to $617Professionalmedian $204 · 10th to 90th $178 to $437
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 $194.98 Median $204.17 Typical High $204.17 | Professional | None | $194.98 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $97.72 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $29.51 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $19.50 | $20.42 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | None | $275.42 | $275.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $616.60 | Facility | None | $245.47 | $245.47 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $2,187.76 | Professional | None | $177.83 | $177.83 | $2,187.76 |
United Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $457.09 | Facility | None | $147.91 | $204.17 | $457.09 |
United Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $436.52 | Professional | None | $186.21 | $223.87 | $436.52 |
Where West Virginia sits
The same service costs 2.9 times more in Montana 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
$204
MT $513DE $178
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.