How much rates vary
Facilitymedian $759 · 10th to 90th $427 to $1,479Professionalmedian $191 · 10th to 90th $135 to $275
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 $169.82 Median $181.97 Typical High $204.17 | Professional | None | $169.82 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $85.11 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.88 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | 54 · Surgery only | $128.82 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $26.92 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $17.78 Typical High $20.42 | Professional | 56 · Pre-op care only | $16.98 | $17.78 | $20.42 |
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 $158.49 Median $169.82 Typical High $245.47 | Professional | None | $158.49 | $169.82 | $245.47 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Where Florida sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 7th of 51
$537
OK $3,631VT $141
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.