How much rates vary
Facilitymedian $5,012 · 10th to 90th $447 to $26,915Professionalmedian $3,162 · 10th to 90th $2,692 to $4,074
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier None Typical Low $776.25 Median $4,073.80 Typical High $12,022.64 | Facility | None | $776.25 | $4,073.80 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $4,073.80 | Professional | None | $3,162.28 | $3,162.28 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $812.83 | Professional | 53 · Discontinued | $630.96 | $630.96 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $407.38 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $407.38 |
AvMed Setting Facility Modifier None Typical Low $1,318.26 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,318.26 | $4,466.84 | $13,182.57 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $1,659.59 Median $3,467.37 Typical High $3,981.07 | Professional | None | $1,659.59 | $3,467.37 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None | $34.67 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Where Florida sits
The same service costs 257.0 times more in Wisconsin than in Hawaii. 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.
Florida· 34th of 51
$3,162
WI $7,586HI $29.51
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.