How much rates vary
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 $660.69 Median $3,890.45 Typical High $12,022.64 | Facility | None | $660.69 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $2,290.87 | Professional | None | $371.54 | $371.54 | $2,290.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $1,737.80 | Professional | 54 · Surgery only | $281.84 | $281.84 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $346.74 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $229.09 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $1,621.81 |
AvMed Setting Facility Modifier None Typical Low $380.19 Median $2,137.96 Typical High $12,882.50 | Facility | None | $380.19 | $2,137.96 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $467.74 | Professional | None | $338.84 | $380.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $562.34 | Professional | None | $338.84 | $354.81 | $562.34 |
Florida Blue Setting Facility Modifier None Typical Low $10,000.00 Median $21,877.62 Typical High $33,884.42 | Facility | None | $10,000.00 | $21,877.62 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $416.87 Median $2,041.74 Typical High $2,454.71 | Professional | None | $416.87 | $2,041.74 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $977.24 | Professional | None | $50.12 | $50.12 | $977.24 |
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 $281.84 Median $371.54 Typical High $630.96 | Professional | None | $281.84 | $371.54 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Where Florida sits
The same service costs 11.7 times more in New York than in North Carolina. 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· 49th of 51
$380
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.