How much rates vary
Facilitymedian $17 · 10th to 90th $8 to $23Professionalmedian $13 · 10th to 90th $10 to $40
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 $16.98 Median $18.62 Typical High $18.62 | Facility | None | $16.98 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $18.62 | Professional | None | $13.18 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $6.61 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $2.63 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.00 Median $14.13 Typical High $14.13 | Professional | 54 · Surgery only | $10.00 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.00 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.32 | $1.86 | $1.86 |
AvMed Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
AvMed Setting Professional Modifier None Typical Low $13.80 Median $22.39 Typical High $23.99 | Professional | None | $13.80 | $22.39 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Florida Blue Setting Facility Modifier None Typical Low $7.94 Median $11.48 Typical High $22.91 | Facility | None | $7.94 | $11.48 | $22.91 |
Florida Blue Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $17.78 | Professional | None | $10.23 | $14.45 | $17.78 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $18.20 | Professional | None | $12.02 | $13.80 | $18.20 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.45 Typical High $60.26 | Professional | None | $10.00 | $14.45 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $23.99 | Professional | None | $10.96 | $10.96 | $23.99 |
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· 36th of 51
$13.18
RI $30.20NY $9.55
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.