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 $229.09 Median $239.88 Typical High $239.88 | Professional | None | $229.09 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $22.91 | $23.99 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | None | $323.59 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $724.44 | Facility | None | $354.81 | $354.81 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $2,570.40 | Professional | None | $257.04 | $257.04 | $2,570.40 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $537.03 | Facility | None | $234.42 | $309.03 | $537.03 |
United Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $512.86 | Professional | None | $218.78 | $263.03 | $512.86 |
Where West Virginia sits
The same service costs 3.5 times more in Hawaii than in Florida. 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
$257
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.