How much rates vary
Facilitymedian $589 · 10th to 90th $398 to $912Professionalmedian $427 · 10th to 90th $389 to $891
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 $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
CareSource Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $954.99 | Professional | None | $549.54 | $549.54 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,174.90 | Facility | None | $588.84 | $588.84 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $4,168.69 | Professional | None | $426.58 | $426.58 | $4,168.69 |
United Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $912.01 | Facility | None | $181.97 | $398.11 | $912.01 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $891.25 | Professional | None | $389.05 | $501.19 | $891.25 |
Where West Virginia sits
The same service costs 2.5 times more in Montana 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· 50th of 51
$427
MT $1,072AL $427
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.