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 $186.21 Median $194.98 Typical High $194.98 | Professional | None | $186.21 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $37.15 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $18.62 | $19.50 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $457.09 | Professional | None | $263.03 | $263.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $616.60 | Facility | None | $234.42 | $234.42 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $2,187.76 | Professional | None | $173.78 | $173.78 | $2,187.76 |
United Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $436.52 | Facility | None | $251.19 | $380.19 | $436.52 |
United Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $426.58 | Professional | None | $177.83 | $213.80 | $426.58 |
Where West Virginia sits
The same service costs 5.5 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· 47th of 51
$195
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.