How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.32 Median $0.32 Typical High $0.39 | Facility | None | $0.32 | $0.32 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.34 Typical High $0.41 | Professional | None | $0.32 | $0.34 | $0.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.17 Typical High $0.20 | Professional | 52 · Reduced service | $0.16 | $0.17 | $0.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.08 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
AvMed Setting Facility Modifier None Typical Low $0.78 Median $0.78 Typical High $0.78 | Facility | None | $0.78 | $0.78 | $0.78 |
AvMed Setting Professional Modifier None Typical Low $0.56 Median $0.71 Typical High $0.78 | Professional | None | $0.56 | $0.71 | $0.78 |
Cigna Setting Facility Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | None | $0.42 | $0.42 | $0.42 |
Cigna Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.42 | Professional | None | $0.36 | $0.36 | $0.42 |
Florida Blue Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | None | $1.41 | $1.41 | $1.41 |
Florida Blue Setting Professional Modifier None Typical Low $0.46 Median $0.78 Typical High $0.78 | Professional | None | $0.46 | $0.78 | $0.78 |
Molina Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | None | $0.62 | $0.62 | $0.62 |
United Setting Facility Modifier None Typical Low $0.91 Median $0.91 Typical High $0.91 | Facility | None | $0.91 | $0.91 | $0.91 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.37 Typical High $0.50 | Professional | None | $0.32 | $0.37 | $0.50 |
Wellpoint Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.78 | Professional | None | $0.62 | $0.62 | $0.78 |
Where Florida sits
The same service costs 2.3 times more in Montana than in Hawaii. 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
$0.37
MT $0.81HI $0.35
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.