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 $446.68 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $446.68 |
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
CareSource Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $7,413.10 | Professional | None | $4,265.80 | $4,265.80 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $10,232.93 | Facility | None | $4,677.35 | $4,677.35 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $36,307.81 | Professional | None | $3,467.37 | $3,467.37 | $36,307.81 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $7,079.46 | Facility | None | $4,073.80 | $4,897.79 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $6,760.83 | Professional | None | $2,951.21 | $3,890.45 | $6,760.83 |
Where West Virginia sits
The same service costs 3.9 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· 48th of 51
$3,467
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.