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 $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.94 | $8.32 | $8.32 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | None | $97.72 | $97.72 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $218.78 | Facility | None | $89.13 | $89.13 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $776.25 | Professional | None | $66.07 | $66.07 | $776.25 |
United Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $158.49 | Facility | None | $93.33 | $114.82 | $158.49 |
United Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $177.83 | Professional | None | $74.13 | $91.20 | $177.83 |
Where West Virginia sits
The same service costs 5.1 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· 40th of 51
$83.18
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.