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 $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $186.21 | Professional | None | $107.15 | $107.15 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $229.09 | Facility | None | $100.00 | $100.00 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $812.83 | Professional | None | $72.44 | $72.44 | $812.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None | $112.20 | $112.20 | $120.23 |
United Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $177.83 | Facility | None | $60.26 | $75.86 | $177.83 |
United Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $177.83 | Professional | None | $77.62 | $102.33 | $177.83 |
Where West Virginia sits
The same service costs 2.9 times more in Montana 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· 47th of 51
$79.43
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.