How much rates vary
Facilitymedian $10 · 10th to 90th $10 to $10Professionalmedian $4 · 10th to 90th $3 to $6
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 $3.98 Median $3.98 Typical High $4.47 | Professional | None | $3.98 | $3.98 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $2.00 Typical High $2.19 | Professional | 52 · Reduced service | $2.00 | $2.00 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.87 | Professional | 53 · Discontinued | $0.79 | $0.79 | $0.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.02 Median $3.02 Typical High $3.31 | Professional | 54 · Surgery only | $3.02 | $3.02 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.60 Typical High $0.66 | Professional | 55 · Aftercare only | $0.60 | $0.60 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.40 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.40 | $0.40 | $0.44 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $7.76 | Professional | None | $3.39 | $3.63 | $7.76 |
Where West Virginia sits
The same service costs 2.7 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· 40th of 51
$3.63
HI $7.94NY $2.95
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.