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 $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,000.00 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $501.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $199.53 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $100.00 | $104.71 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,348.96 | $1,348.96 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,951.21 | Facility | None | $1,174.90 | $1,174.90 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $10,471.29 | Professional | None | $851.14 | $851.14 | $10,471.29 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,187.76 | Facility | None | $1,122.02 | $1,258.93 | $2,187.76 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,238.72 | Professional | None | $954.99 | $1,148.15 | $2,238.72 |
Where West Virginia sits
The same service costs 3.3 times more in Hawaii 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· 44th of 51
$1,047
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.