How much rates vary
Facilitymedian $13 · 10th to 90th $2 to $13Professionalmedian $3 · 10th to 90th $2 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 $3.09 Median $3.39 Typical High $4.27 | Facility | None | $3.09 | $3.39 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $3.39 Typical High $4.27 | Professional | None | $2.40 | $3.39 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.20 Median $1.70 Typical High $2.14 | Professional | 52 · Reduced service | $1.20 | $1.70 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.68 Typical High $0.85 | Professional | 53 · Discontinued | $0.48 | $0.68 | $0.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.78 Median $2.51 Typical High $3.24 | Professional | 54 · Surgery only | $1.78 | $2.51 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.50 Typical High $0.65 | Professional | 55 · Aftercare only | $0.36 | $0.50 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.34 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.24 | $0.34 | $0.43 |
AvMed Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
AvMed Setting Professional Modifier None Typical Low $2.45 Median $4.07 Typical High $4.27 | Professional | None | $2.45 | $4.07 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Florida Blue Setting Facility Modifier None Typical Low $1.86 Median $13.18 Typical High $13.18 | Facility | None | $1.86 | $13.18 | $13.18 |
Florida Blue Setting Professional Modifier None Typical Low $2.40 Median $4.27 Typical High $12.88 | Professional | None | $2.40 | $4.27 | $12.88 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.45 Typical High $3.24 | Professional | None | $2.19 | $2.45 | $3.24 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.57 Typical High $60.26 | Professional | None | $1.78 | $2.57 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $4.27 | Professional | None | $2.00 | $2.00 | $4.27 |
Where Florida sits
The same service costs 4.0 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· 30th of 51
$2.57
RI $6.76NY $1.70
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.