How much rates vary
Facilitymedian $29 · 10th to 90th $26 to $41Professionalmedian $26 · 10th to 90th $26 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 Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $38.90 | Facility | None | $25.70 | $28.84 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $26.92 | Professional | None | $25.70 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.57 | $2.63 | $2.63 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | None | $25.70 | $25.70 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $40.74 | Facility | None | $25.70 | $31.62 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $51.29 | Professional | None | $25.70 | $28.18 | $51.29 |
Where West Virginia sits
Rates are fairly even across states for this service. 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· 18th of 51
$26.30
WY $36.31NC $25.12
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.