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 $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $33.11 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.18 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.61 | $6.92 | $6.92 |
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 $74.13 Median $74.13 Typical High $181.97 | Facility | None | $74.13 | $74.13 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $645.65 | Professional | None | $53.70 | $53.70 | $645.65 |
United Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $134.90 | Facility | None | $77.62 | $79.43 | $134.90 |
United Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $151.36 | Professional | None | $63.10 | $75.86 | $151.36 |
Where West Virginia sits
The same service costs 3.1 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· 35th of 51
$69.18
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.