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 $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $263.03 | Professional | None | $151.36 | $151.36 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $346.74 | Facility | None | $141.25 | $141.25 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $1,230.27 | Professional | None | $102.33 | $102.33 | $1,230.27 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $251.19 | Facility | None | $144.54 | $158.49 | $251.19 |
United Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $245.47 | Professional | None | $107.15 | $138.04 | $245.47 |
Where West Virginia sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$110
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.