How much rates vary
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 $4.17 Median $4.27 Typical High $4.47 | Facility | None | $4.17 | $4.27 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $4.47 | Professional | None | $3.24 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.14 Typical High $2.24 | Professional | 52 · Reduced service | $1.62 | $2.14 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.85 Typical High $0.89 | Professional | 53 · Discontinued | $0.65 | $0.85 | $0.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.40 Median $3.24 Typical High $3.39 | Professional | 54 · Surgery only | $2.40 | $3.24 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.65 Typical High $0.68 | Professional | 55 · Aftercare only | $0.48 | $0.65 | $0.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.43 Typical High $0.45 | Professional | 56 · Pre-op care only | $0.32 | $0.43 | $0.45 |
AvMed Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
AvMed Setting Professional Modifier None Typical Low $3.31 Median $5.37 Typical High $5.75 | Professional | None | $3.31 | $5.37 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Florida Blue Setting Facility Modifier None Typical Low $2.51 Median $13.18 Typical High $13.18 | Facility | None | $2.51 | $13.18 | $13.18 |
Florida Blue Setting Professional Modifier None Typical Low $3.24 Median $5.75 Typical High $12.88 | Professional | None | $3.24 | $5.75 | $12.88 |
Molina Setting Professional Modifier None Typical Low $2.95 Median $3.31 Typical High $4.37 | Professional | None | $2.95 | $3.31 | $4.37 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $60.26 | Professional | None | $2.40 | $3.47 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $5.75 | Professional | None | $2.63 | $2.63 | $5.75 |
Where Florida sits
The same service costs 3.0 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
$3.47
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.