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 Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $165.96 | Facility | None | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $154.88 | Professional | None | $134.90 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $67.61 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $20.42 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $13.49 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | None | $107.15 | $107.15 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $281.84 | Facility | None | $147.91 | $223.87 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $269.15 | Professional | None | $134.90 | $147.91 | $269.15 |
Where West Virginia sits
The same service costs 2.4 times more in Wyoming 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· 31st of 51
$148
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.