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 $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
CareSource Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $870.96 | Professional | None | $512.86 | $512.86 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,023.29 | Facility | None | $416.87 | $416.87 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $3,548.13 | Professional | None | $302.00 | $302.00 | $3,548.13 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $741.31 | Facility | None | $426.58 | $467.74 | $741.31 |
United Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $724.44 | Professional | None | $316.23 | $407.38 | $724.44 |
Where West Virginia sits
The same service costs 3.9 times more in Hawaii than in Delaware. 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
$324
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.