How much rates vary
Facilitymedian $11 · 10th to 90th $6 to $17Professionalmedian $9 · 10th to 90th $8 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 $9.33 Median $13.18 Typical High $14.45 | Facility | None | $9.33 | $13.18 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $14.45 | Professional | None | $9.33 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $6.61 Typical High $7.08 | Professional | 52 · Reduced service | $4.68 | $6.61 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.63 Typical High $2.88 | Professional | 53 · Discontinued | $1.86 | $2.63 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.08 Median $9.77 Typical High $10.72 | Professional | 54 · Surgery only | $7.08 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.95 Typical High $2.14 | Professional | 55 · Aftercare only | $1.41 | $1.95 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.32 Typical High $1.45 | Professional | 56 · Pre-op care only | $0.93 | $1.32 | $1.45 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
AvMed Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
AvMed Setting Professional Modifier None Typical Low $10.72 Median $16.98 Typical High $18.20 | Professional | None | $10.72 | $16.98 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Florida Blue Setting Facility Modifier None Typical Low $6.03 Median $8.71 Typical High $17.38 | Facility | None | $6.03 | $8.71 | $17.38 |
Florida Blue Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $13.49 | Professional | None | $7.76 | $10.96 | $13.49 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $13.80 | Professional | None | $9.33 | $10.47 | $13.80 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $60.26 | Professional | None | $7.59 | $10.96 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $18.20 | Professional | None | $8.51 | $8.51 | $18.20 |
Where Florida sits
The same service costs 2.7 times more in Idaho 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
$9.33
ID $19.50NY $7.24
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.