How much rates vary
Facilitymedian $28 · 10th to 90th $28 to $28Professionalmedian $10 · 10th to 90th $8 to $17
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 $10.96 Median $10.96 Typical High $12.02 | Professional | None | $10.96 | $10.96 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.37 Typical High $6.03 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.40 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.13 Median $8.13 Typical High $9.12 | Professional | 54 · Surgery only | $8.13 | $8.13 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $1.82 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.10 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.10 | $1.10 | $1.20 |
CareSource Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $20.89 | Professional | None | $9.33 | $9.77 | $20.89 |
Where West Virginia sits
The same service costs 2.8 times more in Hawaii 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· 38th of 51
$9.77
HI $21.88NY $7.94
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.