How much rates vary
Facilitymedian $5,623 · 10th to 90th $5,623 to $6,607Professionalmedian $4,898 · 10th to 90th $4,786 to $11,482
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 53 · Discontinued | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $478.63 | $478.63 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
CareSource Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $12,022.64 | Professional | None | $7,079.46 | $7,079.46 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $14,125.38 | Facility | None | $5,623.41 | $5,623.41 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $46,773.51 | Professional | None | $4,786.30 | $4,786.30 | $46,773.51 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $6,918.31 Typical High $11,481.54 | Professional | None | $4,897.79 | $6,918.31 | $11,481.54 |
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· 40th of 51
$5,012
MT $10,715NY $4,169
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.