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 $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $2.63 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | None | $51.29 | $51.29 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Facility | None | $50.12 | $50.12 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $245.47 | Professional | None | $36.31 | $36.31 | $245.47 |
United Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $72.44 | Professional | None | $28.18 | $47.86 | $72.44 |
Where West Virginia sits
The same service costs 4.1 times more in Kansas than in Colorado. 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· 35th of 51
$36.31
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.