How much rates vary
Facilitymedian $91 · 10th to 90th $69 to $257Professionalmedian $79 · 10th to 90th $66 to $170
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 $75.86 Median $79.43 Typical High $79.43 | Professional | None | $75.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $7.94 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $223.87 | Professional | None | $128.82 | $128.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $257.04 | Facility | None | $91.20 | $91.20 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $741.31 | Professional | None | $66.07 | $66.07 | $741.31 |
United Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $162.18 | Facility | None | $39.81 | $69.18 | $162.18 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $169.82 | Professional | None | $70.79 | $87.10 | $169.82 |
Where West Virginia sits
The same service costs 2.5 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· 46th of 51
$79.43
MT $162DE $66.07
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.