How much rates vary
Facilitymedian $309 · 10th to 90th $295 to $741Professionalmedian $245 · 10th to 90th $219 to $537
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 $234.42 Median $245.47 Typical High $245.47 | Professional | None | $234.42 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $117.49 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $23.44 | $24.55 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | None | $331.13 | $331.13 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $741.31 | Facility | None | $295.12 | $295.12 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $2,691.53 | Professional | None | $218.78 | $218.78 | $2,691.53 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $549.54 | Facility | None | $316.23 | $346.74 | $549.54 |
United Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $537.03 | Professional | None | $223.87 | $269.15 | $537.03 |
Where West Virginia sits
The same service costs 4.2 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
$245
HI $912DE $219
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.