How much rates vary
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 $1.20 Median $1.95 Typical High $3.31 | Facility | None | $1.20 | $1.95 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $2.45 Typical High $3.31 | Professional | None | $1.20 | $2.45 | $3.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.58 Typical High $1.66 | Professional | 52 · Reduced service | $1.00 | $1.58 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.65 Typical High $0.66 | Professional | 53 · Discontinued | $0.39 | $0.65 | $0.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.48 Typical High $0.50 | Professional | 55 · Aftercare only | $0.30 | $0.48 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.32 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.20 | $0.32 | $0.33 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.20 Median $1.20 Typical High $1.95 | Professional | AU · Urologic/ostomy supply | $1.20 | $1.20 | $1.95 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Ambetter Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | AU · Urologic/ostomy supply | $2.04 | $2.04 | $2.04 |
AvMed Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $4.47 | Facility | None | $3.55 | $3.55 | $4.47 |
AvMed Setting Professional Modifier None Typical Low $3.31 Median $4.47 Typical High $4.47 | Professional | None | $3.31 | $4.47 | $4.47 |
AvMed Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $3.55 Median $3.55 Typical High $4.47 | Professional | AU · Urologic/ostomy supply | $3.55 | $3.55 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Florida Blue Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Florida Blue Setting Professional Modifier None Typical Low $1.00 Median $1.95 Typical High $3.16 | Professional | None | $1.00 | $1.95 | $3.16 |
Florida Blue Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $2.69 Median $2.69 Typical High $4.47 | Professional | AU · Urologic/ostomy supply | $2.69 | $2.69 | $4.47 |
Molina Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.51 Typical High $60.26 | Professional | None | $1.86 | $2.51 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $4.47 | Professional | None | $2.63 | $2.63 | $4.47 |
Where Florida sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 27th of 51
$2.24
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.