How much rates vary
Facilitymedian $251 · 10th to 90th $251 to $263Professionalmedian $200 · 10th to 90th $200 to $447
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 $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | None | $281.84 | $281.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $575.44 | Facility | None | $251.19 | $251.19 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $2,041.74 | Professional | None | $199.53 | $199.53 | $2,041.74 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $446.68 | Professional | None | $199.53 | $257.04 | $446.68 |
Where West Virginia sits
The same service costs 3.4 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· 45th of 51
$200
MT $562NY $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.