How much rates vary
Facilitymedian $93 · 10th to 90th $50 to $141Professionalmedian $69 · 10th to 90th $55 to $117
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 $79.43 Median $107.15 Typical High $117.49 | Facility | None | $79.43 | $107.15 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $117.49 | Professional | None | $79.43 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $15.85 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $79.43 Typical High $87.10 | Professional | 54 · Surgery only | $60.26 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.85 Typical High $17.38 | Professional | 55 · Aftercare only | $12.02 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.72 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.94 | $10.72 | $11.75 |
AvMed Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
AvMed Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $151.36 | Professional | None | $87.10 | $141.25 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Florida Blue Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $141.25 | Facility | None | $50.12 | $70.79 | $141.25 |
Florida Blue Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $112.20 | Professional | None | $63.10 | $91.20 | $112.20 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $114.82 | Professional | None | $75.86 | $85.11 | $114.82 |
United Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $74.13 | Professional | None | $34.67 | $60.26 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $151.36 | Professional | None | $69.18 | $69.18 | $151.36 |
Where Florida sits
The same service costs 2.8 times more in Hawaii 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· 43rd of 51
$69.18
HI $162NY $58.88
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.