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 $63.10 Median $79.43 Typical High $79.43 | Professional | None | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $11.75 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.76 | $7.94 | $7.94 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | None | $109.65 | $109.65 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $218.78 | Facility | None | $89.13 | $89.13 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $776.25 | Professional | None | $64.57 | $64.57 | $776.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $162.18 | Facility | None | $77.62 | $77.62 | $162.18 |
United Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $169.82 | Professional | None | $72.44 | $87.10 | $169.82 |
Where West Virginia sits
The same service costs 2.8 times more in Kansas 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· 45th of 51
$79.43
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.