How much rates vary
Facilitymedian $23 · 10th to 90th $23 to $36Professionalmedian $10 · 10th to 90th $10 to $17
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 $16.22 Median $17.38 Typical High $17.38 | Professional | None | $16.22 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.13 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.24 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $2.45 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.62 | $1.74 | $1.74 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $19.05 | Professional | None | $9.12 | $9.77 | $19.05 |
Where West Virginia sits
The same service costs 3.0 times more in Montana 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· 47th of 51
$9.77
MT $25.12NY $8.51
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.