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 $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $501.19 | $501.19 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
CareSource Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $12,882.50 | Professional | None | $7,585.78 | $7,585.78 | $12,882.50 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $14,791.08 | Facility | None | $7,244.36 | $7,244.36 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $50,118.72 | Professional | None | $5,248.07 | $5,248.07 | $50,118.72 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $10,715.19 | Facility | None | $4,365.16 | $5,128.61 | $10,715.19 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $6,456.54 Typical High $11,220.18 | Professional | None | $4,897.79 | $6,456.54 | $11,220.18 |
Where West Virginia sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 45th of 51
$5,248
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.