How much rates vary
Facilitymedian $87 · 10th to 90th $71 to $117Professionalmedian $28 · 10th to 90th $21 to $51
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 $28.18 Median $28.18 Typical High $37.15 | Professional | None | $28.18 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 52 · Reduced service | $14.13 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 54 · Surgery only | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.68 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $3.16 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | None | $51.29 | $51.29 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $117.49 | Facility | None | $87.10 | $89.13 | $117.49 |
United Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $54.95 | Professional | None | $23.99 | $25.70 | $54.95 |
Where West Virginia sits
The same service costs 2.6 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
$28.18
HI $54.95NY $20.89
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.