How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $85Professionalmedian $35 · 10th to 90th $26 to $63
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 $50.12 Median $63.10 Typical High $63.10 | Professional | None | $50.12 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $25.12 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $10.00 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $7.41 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.01 | $6.31 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $45.71 | Professional | None | $25.12 | $35.48 | $45.71 |
Where West Virginia sits
The same service costs 3.3 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
$35.48
MT $87.10IN $26.30
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.