How much rates vary
Facilitymedian $7 · 10th to 90th $6 to $11Professionalmedian $8 · 10th to 90th $6 to $55
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 $4.37 Median $5.89 Typical High $6.17 | Facility | None | $4.37 | $5.89 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $6.03 | Professional | None | $5.62 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.95 Typical High $3.02 | Professional | 52 · Reduced service | $2.82 | $2.95 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.17 Typical High $1.20 | Professional | 53 · Discontinued | $1.12 | $1.17 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.87 Typical High $0.89 | Professional | 55 · Aftercare only | $0.83 | $0.87 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.58 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.56 | $0.58 | $0.60 |
AvMed Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $9.33 Typical High $12.59 | Facility | None | $6.92 | $9.33 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.76 | Professional | None | $6.17 | $6.17 | $6.76 |
Florida Blue Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Florida Blue Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $60.26 | Professional | None | $12.30 | $13.49 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Where Florida sits
The same service costs 2.1 times more in Iowa than in Montana. 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· 24th of 51
$7.08
IA $12.30MT $5.75
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.