How much rates vary
Facilitymedian $195 · 10th to 90th $186 to $468Professionalmedian $155 · 10th to 90th $138 to $339
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 $147.91 Median $154.88 Typical High $154.88 | Professional | None | $147.91 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.79 | $15.49 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $363.08 | Professional | None | $208.93 | $208.93 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $467.74 | Facility | None | $186.21 | $186.21 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $1,659.59 | Professional | None | $138.04 | $138.04 | $1,659.59 |
United Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $346.74 | Facility | None | $199.53 | $263.03 | $346.74 |
United Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $338.84 | Professional | None | $141.25 | $169.82 | $338.84 |
Where West Virginia sits
The same service costs 5.0 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· 44th of 51
$155
HI $692DE $138
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.