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 $1,000.00 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,000.00 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
CareSource Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,584.89 | $1,584.89 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,162.28 | Facility | None | $1,174.90 | $1,174.90 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $10,471.29 | Professional | None | $851.14 | $851.14 | $10,471.29 |
United Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $2,187.76 | Facility | None | $870.96 | $933.25 | $2,187.76 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $2,238.72 | Professional | None | $933.25 | $1,148.15 | $2,238.72 |
Where West Virginia sits
The same service costs 3.0 times more in Montana 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· 48th of 51
$1,023
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.