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 $0.49 Median $0.79 Typical High $0.83 | Facility | None | $0.49 | $0.79 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.49 Median $0.79 Typical High $0.83 | Professional | None | $0.49 | $0.79 | $0.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.25 Median $0.40 Typical High $0.42 | Professional | 52 · Reduced service | $0.25 | $0.40 | $0.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.16 Typical High $0.17 | Professional | 53 · Discontinued | $0.10 | $0.16 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.07 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.05 | $0.08 | $0.08 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
AvMed Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
AvMed Setting Professional Modifier None Typical Low $0.81 Median $0.95 Typical High $1.12 | Professional | None | $0.81 | $0.95 | $1.12 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Florida Blue Setting Facility Modifier None Typical Low $1.07 Median $1.07 Typical High $1.07 | Facility | None | $1.07 | $1.07 | $1.07 |
Florida Blue Setting Professional Modifier None Typical Low $0.34 Median $0.68 Typical High $0.83 | Professional | None | $0.34 | $0.68 | $0.83 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $0.46 Median $0.65 Typical High $60.26 | Professional | None | $0.46 | $0.65 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $0.54 Median $0.54 Typical High $1.12 | Professional | None | $0.54 | $0.54 | $1.12 |
Where Florida sits
The same service costs 2.6 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· 48th of 51
$0.55
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.