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 $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
CareSource Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | None | $616.60 | $616.60 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,380.38 | Facility | None | $616.60 | $616.60 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $5,011.87 | Professional | None | $446.68 | $446.68 | $5,011.87 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,023.29 | Facility | None | $588.84 | $707.95 | $1,023.29 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $977.24 | Professional | None | $426.58 | $549.54 | $977.24 |
Where West Virginia sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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
$447
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.