How much rates vary
Facilitymedian $263 · 10th to 90th $263 to $661Professionalmedian $214 · 10th to 90th $195 to $457
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 $138.04 Median $213.80 Typical High $213.80 | Professional | None | $138.04 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $30.90 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $501.19 | Professional | None | $295.12 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $660.69 | Facility | None | $263.03 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $2,344.23 | Professional | None | $194.98 | $194.98 | $2,344.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $478.63 | Facility | None | $213.80 | $275.42 | $478.63 |
United Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $457.09 | Professional | None | $190.55 | $234.42 | $457.09 |
Where West Virginia sits
The same service costs 4.7 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· 46th of 51
$214
HI $912DE $195
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.