How much rates vary
Facilitymedian $79 · 10th to 90th $79 to $107Professionalmedian $38 · 10th to 90th $34 to $66
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 $58.88 Median $66.07 Typical High $66.07 | Professional | None | $58.88 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $11.75 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $8.91 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.89 | $6.61 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $47.86 | Professional | None | $31.62 | $38.02 | $47.86 |
Where West Virginia sits
The same service costs 3.2 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· 45th of 51
$38.02
MT $100NY $31.62
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.