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 $102.33 Median $107.15 Typical High $107.15 | Professional | None | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.72 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | None | $147.91 | $147.91 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $288.40 | Facility | None | $147.91 | $147.91 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $1,023.29 | Professional | None | $107.15 | $107.15 | $1,023.29 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $218.78 | Facility | None | $102.33 | $102.33 | $218.78 |
United Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $229.09 | Professional | None | $95.50 | $117.49 | $229.09 |
Where West Virginia sits
The same service costs 5.4 times more in Kansas than in West Virginia. 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· 51st of 51
$107
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.