How much rates vary
Facilitymedian $229 · 10th to 90th $191 to $427Professionalmedian $209 · 10th to 90th $166 to $468
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 $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
CareSource Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | None | $275.42 | $275.42 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $562.34 | Facility | None | $229.09 | $229.09 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,995.26 | Professional | None | $165.96 | $165.96 | $1,995.26 |
United Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $426.58 | Facility | None | $151.36 | $190.55 | $426.58 |
United Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $467.74 | Professional | None | $204.17 | $257.04 | $467.74 |
Where West Virginia sits
The same service costs 2.7 times more in Montana than in Delaware. 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
$209
MT $457DE $170
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.