How much rates vary
Facilitymedian $59 · 10th to 90th $59 to $59Professionalmedian $21 · 10th to 90th $18 to $36
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | 52 · Reduced service | $11.75 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | 54 · Surgery only | $17.78 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $3.89 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $2.63 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $45.71 | Professional | None | $19.95 | $21.38 | $45.71 |
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· 41st of 51
$21.38
HI $46.77NY $16.98
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.