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 $0.20 Median $0.32 Typical High $0.34 | Facility | None | $0.20 | $0.32 | $0.34 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.32 Typical High $0.34 | Professional | None | $0.20 | $0.32 | $0.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.16 Typical High $0.17 | Professional | 52 · Reduced service | $0.10 | $0.16 | $0.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.06 Typical High $0.07 | Professional | 53 · Discontinued | $0.04 | $0.06 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.03 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.02 | $0.03 | $0.03 |
AvMed Setting Facility Modifier None Typical Low $0.36 Median $0.36 Typical High $0.36 | Facility | None | $0.36 | $0.36 | $0.36 |
AvMed Setting Professional Modifier None Typical Low $0.34 Median $0.39 Typical High $0.45 | Professional | None | $0.34 | $0.39 | $0.45 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Facility | None | $0.62 | $0.62 | $0.62 |
Cigna Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | None | $0.22 | $0.22 | $0.22 |
Florida Blue Setting Facility Modifier None Typical Low $0.43 Median $0.43 Typical High $0.43 | Facility | None | $0.43 | $0.43 | $0.43 |
Florida Blue Setting Professional Modifier None Typical Low $0.14 Median $0.27 Typical High $0.35 | Professional | None | $0.14 | $0.27 | $0.35 |
Molina Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
United Setting Professional Modifier None Typical Low $0.19 Median $0.27 Typical High $60.26 | Professional | None | $0.19 | $0.27 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.45 | Professional | None | $0.20 | $0.20 | $0.45 |
Where Florida sits
The same service costs 2.5 times more in Hawaii than in Utah. 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· 42nd of 51
$0.22
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.