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 $190.55 Typical High $204.17 | Professional | None | $186.21 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
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 $269.15 Median $380.19 Typical High $630.96 | Professional | None | $269.15 | $380.19 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $524.81 | Facility | None | $208.93 | $208.93 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $1,862.09 | Professional | None | $154.88 | $154.88 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $416.87 | Professional | None | $173.78 | $208.93 | $416.87 |
Where West Virginia sits
The same service costs 2.4 times more in Hawaii 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· 46th of 51
$191
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.