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 $20,417.38 Median $20,417.38 Typical High $20,417.38 | Professional | None | $20,417.38 | $20,417.38 | $20,417.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | 52 · Reduced service | $10,232.93 | $10,232.93 | $10,232.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | 53 · Discontinued | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | 55 · Aftercare only | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 56 · Pre-op care only | $2,041.74 | $2,041.74 | $2,041.74 |
CareSource Setting Facility Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Facility | None | $25,703.96 | $25,703.96 | $25,703.96 |
CareSource Setting Professional Modifier None Typical Low $27,542.29 Median $27,542.29 Typical High $46,773.51 | Professional | None | $27,542.29 | $27,542.29 | $46,773.51 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $60,255.96 | Facility | None | $30,199.52 | $30,199.52 | $60,255.96 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $213,796.21 | Professional | None | $22,387.21 | $22,387.21 | $213,796.21 |
United Setting Facility Modifier None Typical Low $45,708.82 Median $45,708.82 Typical High $45,708.82 | Facility | None | $45,708.82 | $45,708.82 | $45,708.82 |
United Setting Professional Modifier None Typical Low $20,417.38 Median $26,302.68 Typical High $46,773.51 | Professional | None | $20,417.38 | $26,302.68 | $46,773.51 |
Where West Virginia sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 50th of 51
$22,387
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.