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 $30.90 Median $32.36 Typical High $32.36 | Professional | None | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $15.49 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.57 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.09 | $3.24 | $3.24 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $72.44 | Professional | None | $42.66 | $42.66 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $97.72 | Facility | None | $48.98 | $48.98 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $346.74 | Professional | None | $35.48 | $35.48 | $346.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
United Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $69.18 | Facility | None | $40.74 | $52.48 | $69.18 |
United Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $69.18 | Professional | None | $28.84 | $35.48 | $69.18 |
Where West Virginia sits
The same service costs 4.0 times more in Hawaii than in Washington, DC. 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· 42nd of 51
$35.48
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.