How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $72Professionalmedian $26 · 10th to 90th $24 to $56
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 $20.89 Median $26.30 Typical High $26.30 | Professional | None | $20.89 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.89 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.57 | $2.63 | $2.63 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | None | $36.31 | $36.31 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $72.44 | Facility | None | $34.67 | $34.67 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $257.04 | Professional | None | $25.70 | $25.70 | $257.04 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $56.23 | Professional | None | $23.99 | $28.84 | $56.23 |
Where West Virginia sits
The same service costs 2.1 times more in Montana than in New Jersey. 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
$26.30
MT $54.95NJ $25.70
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.