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 $74.13 Median $77.62 Typical High $77.62 | Professional | None | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $37.15 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.22 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.41 | $7.76 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | None | $104.71 | $104.71 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $234.42 | Facility | None | $97.72 | $97.72 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $851.14 | Professional | None | $70.79 | $70.79 | $851.14 |
United Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $173.78 | Facility | None | $95.50 | $100.00 | $173.78 |
United Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $169.82 | Professional | None | $70.79 | $85.11 | $169.82 |
Where West Virginia sits
The same service costs 3.2 times more in Hawaii 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· 47th of 51
$77.62
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.