How much rates vary
Facilitymedian $47 · 10th to 90th $47 to $47Professionalmedian $17 · 10th to 90th $14 to $29
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 $18.62 Median $18.62 Typical High $20.42 | Professional | None | $18.62 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.17 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 54 · Surgery only | $13.80 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $2.04 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $36.31 | Professional | None | $15.85 | $16.98 | $36.31 |
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· 42nd of 51
$16.98
HI $37.15NY $13.49
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.