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 $380.19 Median $398.11 Typical High $398.11 | Professional | None | $380.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
CareSource Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $954.99 | Professional | None | $562.34 | $562.34 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,122.02 | Facility | None | $446.68 | $446.68 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $3,981.07 | Professional | None | $331.13 | $331.13 | $3,981.07 |
United Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $831.76 | Facility | None | $478.63 | $630.96 | $831.76 |
United Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $851.14 | Professional | None | $363.08 | $436.52 | $851.14 |
Where West Virginia sits
The same service costs 4.6 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· 43rd of 51
$398
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.