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 $19.05 Median $19.50 Typical High $19.50 | Professional | None | $19.05 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.80 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.91 | $1.95 | $1.95 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $45.71 | Professional | None | $26.92 | $26.92 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $53.70 | Facility | None | $25.70 | $25.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $186.21 | Professional | None | $18.62 | $18.62 | $186.21 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $41.69 | Professional | None | $17.38 | $21.38 | $41.69 |
Where West Virginia sits
The same service costs 2.2 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· 41st of 51
$19.50
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.