How much rates vary
Facilitymedian $42 · 10th to 90th $7 to $42Professionalmedian $10 · 10th to 90th $7 to $40
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 $11.75 Median $12.88 Typical High $13.49 | Facility | None | $11.75 | $12.88 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $13.49 | Professional | None | $9.12 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $6.46 Typical High $6.76 | Professional | 52 · Reduced service | $4.57 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.57 Typical High $2.69 | Professional | 53 · Discontinued | $1.82 | $2.57 | $2.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.92 Median $9.55 Typical High $10.00 | Professional | 54 · Surgery only | $6.92 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.38 Median $1.95 Typical High $2.00 | Professional | 55 · Aftercare only | $1.38 | $1.95 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $1.29 Typical High $1.35 | Professional | 56 · Pre-op care only | $0.91 | $1.29 | $1.35 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
AvMed Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
AvMed Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $16.60 | Professional | None | $9.55 | $15.49 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Florida Blue Setting Facility Modifier None Typical Low $7.24 Median $41.69 Typical High $41.69 | Facility | None | $7.24 | $41.69 | $41.69 |
Florida Blue Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $40.74 | Professional | None | $9.12 | $16.60 | $40.74 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $9.33 Typical High $12.59 | Professional | None | $8.32 | $9.33 | $12.59 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.00 Typical High $60.26 | Professional | None | $6.92 | $10.00 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $16.60 | Professional | None | $7.59 | $7.59 | $16.60 |
Where Florida sits
The same service costs 3.2 times more in Rhode Island than in New York. 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· 32nd of 51
$9.77
RI $21.38NY $6.61
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.