How much rates vary
Facilitymedian $85 · 10th to 90th $65 to $174Professionalmedian $68 · 10th to 90th $62 to $145
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 $64.57 Median $67.61 Typical High $67.61 | Professional | None | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $32.36 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.88 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $9.55 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.46 | $6.76 | $6.76 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $144.54 | Professional | None | $85.11 | $85.11 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $173.78 | Facility | None | $85.11 | $85.11 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $630.96 | Professional | None | $61.66 | $61.66 | $630.96 |
United Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $131.83 | Facility | None | $48.98 | $64.57 | $131.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $144.54 | Professional | None | $60.26 | $74.13 | $144.54 |
Where West Virginia sits
The same service costs 2.2 times more in Hawaii than in Alabama. 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· 38th of 51
$67.61
HI $138AL $61.66
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.