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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
CareSource Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,995.26 | $1,995.26 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,981.07 | Facility | None | $1,819.70 | $1,819.70 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $12,589.25 | Professional | None | $1,318.26 | $1,318.26 | $12,589.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,698.24 | $1,905.46 | $1,949.84 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $2,630.27 | Facility | None | $870.96 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,174.90 | $1,513.56 | $2,691.53 |
Where West Virginia sits
The same service costs 2.3 times more in Wisconsin than in Pennsylvania. 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
$1,318
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.