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 Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $5,754.40 | Facility | None | $141.25 | $141.25 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | None | $194.98 | $194.98 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $380.19 | Facility | None | $194.98 | $194.98 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,202.26 | Professional | None | $165.96 | $165.96 | $1,202.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $5,495.41 | Facility | None | $1,778.28 | $2,754.23 | $5,495.41 |
United Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $295.12 | Professional | None | $128.82 | $165.96 | $295.12 |
Where West Virginia sits
The same service costs 2.6 times more in Montana than in New York. 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· 31st of 51
$166
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.