How much rates vary
Facilitymedian $363 · 10th to 90th $347 to $603Professionalmedian $263 · 10th to 90th $251 to $575
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 $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $630.96 | Professional | None | $371.54 | $371.54 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $812.83 | Facility | None | $363.08 | $363.08 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $2,884.03 | Professional | None | $263.03 | $263.03 | $2,884.03 |
United Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $602.56 | Facility | None | $346.74 | $416.87 | $602.56 |
United Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $575.44 | Professional | None | $251.19 | $331.13 | $575.44 |
Where West Virginia sits
The same service costs 3.7 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· 50th of 51
$263
HI $977DE $263
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.