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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
CareSource Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,862.09 | $1,862.09 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,715.35 | Facility | None | $1,737.80 | $1,737.80 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $12,302.69 | Professional | None | $1,288.25 | $1,288.25 | $12,302.69 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,630.27 | Facility | None | $977.24 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,479.11 | $2,630.27 |
Where West Virginia sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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
$1,288
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.