How much rates vary
Facilitymedian $178 · 10th to 90th $170 to $427Professionalmedian $155 · 10th to 90th $126 to $339
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 $151.36 Median $154.88 Typical High $154.88 | Professional | None | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $331.13 | Professional | None | $190.55 | $190.55 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $426.58 | Facility | None | $169.82 | $169.82 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $1,513.56 | Professional | None | $125.89 | $125.89 | $1,513.56 |
United Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $316.23 | Facility | None | $181.97 | $229.09 | $316.23 |
United Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $338.84 | Professional | None | $141.25 | $173.78 | $338.84 |
Where West Virginia sits
The same service costs 4.7 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· 44th of 51
$155
HI $589DE $126
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.