How much rates vary
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 $109.65 Median $109.65 Typical High $117.49 | Professional | None | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $380.19 | Facility | None | $125.89 | $190.55 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | None | $125.89 | $125.89 | $190.55 |
Where West Virginia sits
The same service costs 5.5 times more in North Dakota than in Kentucky. 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· 44th of 51
$126
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.