How much rates vary
Facilitymedian $27 · 10th to 90th $4 to $27Professionalmedian $5 · 10th to 90th $3 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 $6.17 Median $6.61 Typical High $8.51 | Facility | None | $6.17 | $6.61 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $8.51 | Professional | None | $4.79 | $6.61 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $3.31 Typical High $4.27 | Professional | 52 · Reduced service | $2.40 | $3.31 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.35 Typical High $1.70 | Professional | 53 · Discontinued | $0.95 | $1.35 | $1.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.55 Median $5.01 Typical High $6.46 | Professional | 54 · Surgery only | $3.55 | $5.01 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $1.00 Typical High $1.29 | Professional | 55 · Aftercare only | $0.71 | $1.00 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.48 Median $0.68 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.48 | $0.68 | $0.85 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $9.55 | Professional | None | $5.50 | $5.50 | $9.55 |
AvMed Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
AvMed Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $8.51 | Professional | None | $4.90 | $7.94 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Florida Blue Setting Facility Modifier None Typical Low $3.72 Median $26.92 Typical High $26.92 | Facility | None | $3.72 | $26.92 | $26.92 |
Florida Blue Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $25.70 | Professional | None | $4.79 | $8.51 | $25.70 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $6.46 | Professional | None | $4.37 | $4.90 | $6.46 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.13 Typical High $60.26 | Professional | None | $3.55 | $5.13 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $8.51 | Professional | None | $3.89 | $3.89 | $8.51 |
Where Florida sits
The same service costs 4.1 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· 30th of 51
$5.25
RI $13.80NY $3.39
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.