How much rates vary
Facilitymedian $22 · 10th to 90th $22 to $31Professionalmedian $8 · 10th to 90th $7 to $14
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 $8.91 Median $8.91 Typical High $10.00 | Professional | None | $8.91 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $5.01 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.00 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.76 Median $6.76 Typical High $7.41 | Professional | 54 · Surgery only | $6.76 | $6.76 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.35 Typical High $1.48 | Professional | 55 · Aftercare only | $1.35 | $1.35 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $0.89 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.89 | $0.89 | $1.00 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $17.38 | Professional | None | $7.59 | $8.13 | $17.38 |
Where West Virginia sits
The same service costs 3.2 times more in Rhode Island 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
$8.13
RI $21.38NY $6.61
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.