How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $257Professionalmedian $126 · 10th to 90th $102 to $275
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 $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None | $154.88 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $346.74 | Facility | None | $138.04 | $138.04 | $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 $147.91 Median $154.88 Typical High $257.04 | Facility | None | $147.91 | $154.88 | $257.04 |
United Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $275.42 | Professional | None | $123.03 | $154.88 | $275.42 |
Where West Virginia sits
The same service costs 3.5 times more in Hawaii 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
$126
HI $363DE $102
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.