How much rates vary
Facilitymedian $34 · 10th to 90th $16 to $46Professionalmedian $27 · 10th to 90th $19 to $48
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.88 Median $37.15 Typical High $38.02 | Facility | None | $33.88 | $37.15 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $38.02 | Professional | None | $26.92 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $13.18 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.41 Typical High $7.59 | Professional | 53 · Discontinued | $5.37 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | 54 · Surgery only | $19.95 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $3.98 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $3.72 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.63 | $3.72 | $3.80 |
AvMed Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
AvMed Setting Professional Modifier None Typical Low $7.76 Median $44.67 Typical High $47.86 | Professional | None | $7.76 | $44.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Florida Blue Setting Facility Modifier None Typical Low $15.85 Median $22.91 Typical High $45.71 | Facility | None | $15.85 | $22.91 | $45.71 |
Florida Blue Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $35.48 | Professional | None | $20.42 | $28.84 | $35.48 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $36.31 | Professional | None | $23.99 | $27.54 | $36.31 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $60.26 | Professional | None | $19.95 | $28.84 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $47.86 | Professional | None | $21.88 | $21.88 | $47.86 |
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· 34th of 51
$26.92
RI $60.26NY $19.05
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.