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 $123.03 Median $128.82 Typical High $128.82 | Professional | None | $123.03 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $61.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.30 | $12.88 | $12.88 |
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 $144.54 Median $144.54 Typical High $245.47 | Professional | None | $144.54 | $144.54 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $309.03 | Facility | None | $144.54 | $144.54 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $1,122.02 | Professional | None | $104.71 | $104.71 | $1,122.02 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $229.09 | Facility | None | $87.10 | $100.00 | $229.09 |
United Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $275.42 | Professional | None | $107.15 | $141.25 | $275.42 |
Where West Virginia sits
The same service costs 2.5 times more in Montana than in Florida. 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· 29th of 51
$129
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.