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 $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.29 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | None | $22.91 | $22.91 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $45.71 | Facility | None | $18.62 | $18.62 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $147.91 | Professional | None | $13.49 | $13.49 | $147.91 |
Highmark BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.60 Typical High $30.90 | Facility | None | $14.45 | $16.60 | $30.90 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $29.51 | Professional | None | $12.88 | $16.98 | $29.51 |
Where West Virginia sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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
$13.49
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.