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 $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $416.87 | Professional | None | $245.47 | $245.47 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $549.54 | Facility | None | $245.47 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $1,949.84 | Professional | None | $177.83 | $177.83 | $1,949.84 |
United Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $407.38 | Facility | None | $234.42 | $281.84 | $407.38 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $389.05 | Professional | None | $169.82 | $223.87 | $389.05 |
Where West Virginia sits
The same service costs 3.6 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· 47th of 51
$178
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.