How much rates vary
Facilitymedian $16 · 10th to 90th $8 to $24Professionalmedian $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 $12.30 Median $18.20 Typical High $19.95 | Facility | None | $12.30 | $18.20 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $19.95 | Professional | None | $12.30 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $9.12 Typical High $10.00 | Professional | 52 · Reduced service | $6.17 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.63 Typical High $3.98 | Professional | 53 · Discontinued | $2.45 | $3.63 | $3.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $13.49 Typical High $14.79 | Professional | 54 · Surgery only | $9.12 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.69 Typical High $2.95 | Professional | 55 · Aftercare only | $1.82 | $2.69 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.82 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.23 | $1.82 | $2.00 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
AvMed Setting Professional Modifier None Typical Low $14.79 Median $23.99 Typical High $25.70 | Professional | None | $14.79 | $23.99 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Florida Blue Setting Facility Modifier None Typical Low $8.32 Median $12.02 Typical High $23.99 | Facility | None | $8.32 | $12.02 | $23.99 |
Florida Blue Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $19.05 | Professional | None | $10.72 | $15.14 | $19.05 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $19.05 | Professional | None | $12.88 | $14.45 | $19.05 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $60.26 | Professional | None | $10.47 | $15.49 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $25.70 | Professional | None | $11.75 | $11.75 | $25.70 |
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
$12.59
HI $27.54NY $10.00
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.