How much rates vary
Facilitymedian $32 · 10th to 90th $32 to $48Professionalmedian $13 · 10th to 90th $10 to $20
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 $12.88 Median $12.88 Typical High $14.79 | Professional | None | $12.88 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.88 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.55 Median $9.55 Typical High $10.72 | Professional | 54 · Surgery only | $9.55 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $2.14 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.45 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $25.12 | Professional | None | $10.96 | $11.75 | $25.12 |
Where West Virginia sits
The same service costs 2.9 times more in Rhode Island 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
$12.59
RI $26.92NY $9.33
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.