How much rates vary
Facilitymedian $316 · 10th to 90th $257 to $513Professionalmedian $245 · 10th to 90th $229 to $550
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 $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $537.03 | Professional | None | $316.23 | $316.23 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $676.08 | Facility | None | $316.23 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $2,398.83 | Professional | None | $229.09 | $229.09 | $2,398.83 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $512.86 | Facility | None | $213.80 | $257.04 | $512.86 |
United Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $549.54 | Professional | None | $245.47 | $309.03 | $549.54 |
Where West Virginia sits
The same service costs 2.5 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· 47th of 51
$245
HI $562DE $229
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.