How much rates vary
Facilitymedian $166 · 10th to 90th $155 to $363Professionalmedian $148 · 10th to 90th $120 to $316
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 $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $70.79 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.13 | $14.79 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
CareSource Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $275.42 | Professional | None | $162.18 | $162.18 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $1,288.25 | Professional | None | $120.23 | $120.23 | $1,288.25 |
United Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $269.15 | Facility | None | $154.88 | $213.80 | $269.15 |
United Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $316.23 | Professional | None | $125.89 | $162.18 | $316.23 |
Where West Virginia sits
The same service costs 4.4 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· 29th of 51
$148
HI $525FL $120
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.