How much rates vary
Facilitymedian $14 · 10th to 90th $14 to $20Professionalmedian $7 · 10th to 90th $6 to $12
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 $10.00 Median $12.30 Typical High $12.30 | Professional | None | $10.00 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.48 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.00 | $1.23 | $1.23 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $10.00 | Professional | None | $5.89 | $6.92 | $10.00 |
Where West Virginia sits
The same service costs 2.7 times more in Montana than in Utah. 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· 40th of 51
$6.92
MT $16.22UT $6.03
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.