How much rates vary
Facilitymedian $22 · 10th to 90th $19 to $35Professionalmedian $21 · 10th to 90th $10 to $54
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 Facility Modifier None Typical Low $19.95 Median $20.42 Typical High $33.88 | Facility | None | $19.95 | $20.42 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $20.42 Typical High $38.02 | Professional | None | $10.00 | $20.42 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $10.00 Typical High $11.75 | Professional | 52 · Reduced service | $5.01 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $3.98 Typical High $4.68 | Professional | 53 · Discontinued | $2.00 | $3.98 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $3.02 Typical High $3.47 | Professional | 55 · Aftercare only | $1.51 | $3.02 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $2.00 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.00 | $2.00 | $2.34 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $29.51 Typical High $32.36 | Professional | None | $17.38 | $29.51 | $32.36 |
AvMed Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $23.44 | Facility | None | $18.20 | $22.39 | $23.44 |
AvMed Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $23.44 | Professional | None | $17.38 | $19.50 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $31.62 | Professional | None | $15.49 | $19.50 | $31.62 |
Florida Blue Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $20.42 | Professional | None | $15.14 | $15.85 | $20.42 |
United Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $89.13 | Facility | None | $83.18 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $60.26 | Professional | None | $15.49 | $34.67 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $21.38 | Professional | None | $10.00 | $10.00 | $21.38 |
Where Florida sits
The same service costs 5.4 times more in Vermont than in Kansas. 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· 37th of 51
$21.38
VT $75.86KS $14.13
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.