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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $302.00 | $302.00 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
CareSource Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $7,413.10 | Professional | None | $4,365.16 | $4,365.16 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $9,772.37 | Facility | None | $4,897.79 | $4,897.79 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $34,673.69 | Professional | None | $3,548.13 | $3,548.13 | $34,673.69 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $7,079.46 | Facility | None | $4,073.80 | $5,370.32 | $7,079.46 |
United Setting Professional Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $6,918.31 | Professional | None | $3,019.95 | $3,890.45 | $6,918.31 |
Where West Virginia sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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
$3,548
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.