How much rates vary
Facilitymedian $398 · 10th to 90th $331 to $617Professionalmedian $288 · 10th to 90th $263 to $603
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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | None | $380.19 | $380.19 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $831.76 | Facility | None | $398.11 | $398.11 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $2,951.21 | Professional | None | $288.40 | $288.40 | $2,951.21 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $616.60 | Facility | None | $281.84 | $331.13 | $616.60 |
United Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $602.56 | Professional | None | $263.03 | $338.84 | $602.56 |
Where West Virginia sits
The same service costs 2.6 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
$288
HI $741DC $288
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.