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 $48.98 Median $51.29 Typical High $51.29 | Professional | None | $48.98 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.77 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.24 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.79 | $5.13 | $5.13 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | None | $64.57 | $64.57 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $134.90 | Facility | None | $53.70 | $53.70 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $478.63 | Professional | None | $38.90 | $38.90 | $478.63 |
United Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $100.00 | Facility | None | $16.98 | $39.81 | $100.00 |
United Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $114.82 | Professional | None | $46.77 | $61.66 | $114.82 |
Where West Virginia sits
The same service costs 3.3 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· 35th of 51
$51.29
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.