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 $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $537.03 | Professional | None | $316.23 | $316.23 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $676.08 | Facility | None | $281.84 | $281.84 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $2,454.71 | Professional | None | $204.17 | $204.17 | $2,454.71 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $501.19 | Facility | None | $288.40 | $389.05 | $501.19 |
United Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $478.63 | Professional | None | $208.93 | $275.42 | $478.63 |
Where West Virginia sits
The same service costs 4.1 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· 49th of 51
$214
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.