How much rates vary
Facilitymedian $110 · 10th to 90th $107 to $269Professionalmedian $98 · 10th to 90th $81 to $209
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 $93.33 Median $97.72 Typical High $97.72 | Professional | None | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $14.13 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.33 | $9.77 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
CareSource Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | None | $123.03 | $123.03 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $269.15 | Facility | None | $109.65 | $109.65 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $954.99 | Professional | None | $81.28 | $81.28 | $954.99 |
United Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $204.17 | Facility | None | $89.13 | $107.15 | $204.17 |
United Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $208.93 | Professional | None | $89.13 | $107.15 | $208.93 |
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· 43rd of 51
$97.72
MT $240DE $81.28
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.