How much rates vary
Facilitymedian $85 · 10th to 90th $16 to $85Professionalmedian $23 · 10th to 90th $15 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 $26.30 Median $28.18 Typical High $28.84 | Facility | None | $26.30 | $28.18 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $31.62 | Professional | None | $20.42 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $10.23 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.07 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $21.38 Typical High $21.88 | Professional | 54 · Surgery only | $15.49 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $3.09 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.04 | $2.82 | $2.88 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | None | $22.91 | $22.91 | $24.55 |
AvMed Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $37.15 | Professional | None | $21.38 | $34.67 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Florida Blue Setting Facility Modifier None Typical Low $16.22 Median $85.11 Typical High $85.11 | Facility | None | $16.22 | $85.11 | $85.11 |
Florida Blue Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $81.28 | Professional | None | $20.89 | $37.15 | $81.28 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $28.18 | Professional | None | $18.62 | $21.38 | $28.18 |
United Setting Professional Modifier None Typical Low $15.49 Median $22.39 Typical High $60.26 | Professional | None | $15.49 | $22.39 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $37.15 | Professional | None | $16.98 | $16.98 | $37.15 |
Where Florida sits
The same service costs 3.1 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· 31st of 51
$22.91
RI $45.71NY $14.79
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.