How much rates vary
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 $18.62 Median $20.42 Typical High $22.39 | Facility | None | $18.62 | $20.42 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $22.39 | Professional | None | $14.45 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $10.23 Typical High $11.22 | Professional | 52 · Reduced service | $7.24 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $4.07 Typical High $4.47 | Professional | 53 · Discontinued | $2.88 | $4.07 | $4.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.96 Median $15.14 Typical High $16.98 | Professional | 54 · Surgery only | $10.96 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $3.09 Typical High $3.39 | Professional | 55 · Aftercare only | $2.19 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $2.04 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.45 | $2.04 | $2.24 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
AvMed Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
AvMed Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $26.30 | Professional | None | $15.14 | $24.55 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Florida Blue Setting Facility Modifier None Typical Low $8.71 Median $12.30 Typical High $25.12 | Facility | None | $8.71 | $12.30 | $25.12 |
Florida Blue Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $19.50 | Professional | None | $11.22 | $15.85 | $19.50 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $19.95 | Professional | None | $13.18 | $15.14 | $19.95 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $60.26 | Professional | None | $10.96 | $15.85 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $26.30 | Professional | None | $12.02 | $12.02 | $26.30 |
Where Florida sits
The same service costs 3.5 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· 33rd of 51
$15.85
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.