How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $269Professionalmedian $98 · 10th to 90th $79 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 $95.50 Median $97.72 Typical High $97.72 | Professional | None | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.55 | $9.77 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
CareSource Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | None | $134.90 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $269.15 | Facility | None | $107.15 | $107.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $954.99 | Professional | None | $79.43 | $79.43 | $954.99 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
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 2.6 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· 40th of 51
$97.72
MT $204DE $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.