How much rates vary
Facilitymedian $186 · 10th to 90th $71 to $186Professionalmedian $49 · 10th to 90th $30 to $100
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 $40.74 Median $40.74 Typical High $51.29 | Facility | None | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $54.95 | Professional | None | $40.74 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $22.39 Typical High $27.54 | Professional | 52 · Reduced service | $20.42 | $22.39 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.12 Typical High $10.96 | Professional | 53 · Discontinued | $8.13 | $9.12 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.76 Typical High $8.13 | Professional | 55 · Aftercare only | $6.17 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.57 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.07 | $4.57 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
AvMed Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
AvMed Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $100.00 | Professional | None | $74.13 | $93.33 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Florida Blue Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Florida Blue Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $100.00 | Professional | None | $52.48 | $100.00 | $100.00 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $30.20 Typical High $33.11 | Professional | None | $22.39 | $30.20 | $33.11 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $60.26 | Professional | None | $38.90 | $48.98 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | None | $30.20 | $30.20 | $100.00 |
Where Florida sits
The same service costs 2.0 times more in Hawaii 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· 49th of 51
$51.29
HI $102WV $51.29
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.