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 $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None | $154.88 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $346.74 | Facility | None | $181.97 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $1,230.27 | Professional | None | $131.83 | $131.83 | $1,230.27 |
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $257.04 | Facility | None | $147.91 | $173.78 | $257.04 |
United Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $251.19 | Professional | None | $109.65 | $141.25 | $251.19 |
Where West Virginia sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 46th of 51
$132
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.