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 $724.44 Median $758.58 Typical High $758.58 | Professional | None | $724.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
CareSource Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,258.93 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $2,454.71 | Facility | None | $891.25 | $891.25 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $7,762.47 | Professional | None | $645.65 | $645.65 | $7,762.47 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,584.89 | Facility | None | $851.14 | $870.96 | $1,584.89 |
United Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,621.81 | Professional | None | $676.08 | $831.76 | $1,621.81 |
Where West Virginia sits
The same service costs 3.0 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· 47th of 51
$759
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.