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 $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,071.52 | Professional | None | $630.96 | $630.96 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,318.26 | Facility | None | $691.83 | $691.83 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $4,677.35 | Professional | None | $512.86 | $512.86 | $4,677.35 |
United Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $954.99 | Facility | None | $398.11 | $501.19 | $954.99 |
United Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $977.24 | Professional | None | $426.58 | $562.34 | $977.24 |
Where West Virginia sits
The same service costs 2.4 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· 35th of 51
$513
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.