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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
CareSource Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $10,715.19 | Professional | None | $6,309.57 | $6,309.57 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $12,302.69 | Facility | None | $4,677.35 | $4,677.35 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $37,153.52 | Professional | None | $3,467.37 | $3,467.37 | $37,153.52 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $8,128.31 | Facility | None | $2,884.03 | $3,548.13 | $8,128.31 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $4,466.84 Typical High $7,762.47 | Professional | None | $3,467.37 | $4,466.84 | $7,762.47 |
Where West Virginia sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 48th of 51
$3,548
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.