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 $645.65 Median $4,786.30 Typical High $12,022.64 | Facility | None | $645.65 | $4,786.30 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $173.78 | Professional | None | $144.54 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $28.84 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | 54 · Surgery only | $109.65 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.39 Typical High $26.30 | Professional | 55 · Aftercare only | $21.88 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.14 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.45 | $15.14 | $17.38 |
AvMed Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $676.08 | Facility | None | $331.13 | $346.74 | $676.08 |
AvMed Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $19.50 | Professional | None | $16.98 | $18.20 | $19.50 |
Florida Blue Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $1,479.11 | Facility | None | $446.68 | $758.58 | $1,479.11 |
Florida Blue Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $213.80 | Professional | None | $131.83 | $141.25 | $213.80 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Where Florida sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 4th of 51
$537
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.