How much rates vary
Facilitymedian $47 · 10th to 90th $47 to $65Professionalmedian $27 · 10th to 90th $20 to $48
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 $35.48 Median $47.86 Typical High $47.86 | Professional | None | $35.48 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $17.78 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.08 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $5.37 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.55 | $4.79 | $4.79 |
CareSource Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $34.67 | Professional | None | $21.38 | $26.92 | $34.67 |
Where West Virginia sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 35th of 51
$26.92
MT $64.57IN $19.95
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.