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 $169.82 Median $181.97 Typical High $181.97 | Professional | None | $169.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $26.30 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $17.38 | $18.20 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $407.38 | Professional | None | $239.88 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $562.34 | Facility | None | $229.09 | $229.09 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,995.26 | Professional | None | $165.96 | $165.96 | $1,995.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $398.11 | Facility | None | $229.09 | $251.19 | $398.11 |
United Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $398.11 | Professional | None | $165.96 | $199.53 | $398.11 |
Where West Virginia sits
The same service costs 3.5 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· 48th of 51
$182
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.