How much rates vary
Facilitymedian $224 · 10th to 90th $214 to $550Professionalmedian $200 · 10th to 90th $158 to $427
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 $190.55 Median $199.53 Typical High $199.53 | Professional | None | $190.55 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $95.50 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $19.05 | $19.95 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $416.87 | Professional | None | $239.88 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $549.54 | Facility | None | $213.80 | $213.80 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $1,949.84 | Professional | None | $158.49 | $158.49 | $1,949.84 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $398.11 | Facility | None | $229.09 | $257.04 | $398.11 |
United Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $426.58 | Professional | None | $181.97 | $218.78 | $426.58 |
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· 43rd of 51
$200
HI $692FL $158
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.