How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $13 · 10th to 90th $10 to $21
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 $13.80 Median $13.80 Typical High $15.14 | Professional | None | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $7.59 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.09 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.23 Median $10.23 Typical High $11.48 | Professional | 54 · Surgery only | $10.23 | $10.23 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.29 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.51 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $26.92 | Professional | None | $11.75 | $12.59 | $26.92 |
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
$12.59
HI $27.54NY $10.00
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.