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 $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.23 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.59 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.13 | $5.37 | $5.37 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $158.49 | Professional | None | $67.61 | $95.50 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $138.04 | Facility | None | $61.66 | $61.66 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $501.19 | Professional | None | $44.67 | $44.67 | $501.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $109.65 | Facility | None | $72.44 | $72.44 | $109.65 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $120.23 | Professional | None | $51.29 | $64.57 | $120.23 |
Where West Virginia sits
The same service costs 2.1 times more in Wisconsin 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
$53.70
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.