How much rates vary
Facilitymedian $5 · 10th to 90th $2 to $7Professionalmedian $4 · 10th to 90th $3 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 $3.89 Median $5.25 Typical High $5.75 | Facility | None | $3.89 | $5.25 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $5.75 | Professional | None | $3.89 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $2.63 Typical High $2.88 | Professional | 52 · Reduced service | $1.95 | $2.63 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $1.05 Typical High $1.15 | Professional | 53 · Discontinued | $0.78 | $1.05 | $1.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.88 Median $3.89 Typical High $4.27 | Professional | 54 · Surgery only | $2.88 | $3.89 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.58 Median $0.79 Typical High $0.85 | Professional | 55 · Aftercare only | $0.58 | $0.79 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.52 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.39 | $0.52 | $0.56 |
AvMed Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
AvMed Setting Professional Modifier None Typical Low $4.27 Median $6.92 Typical High $7.41 | Professional | None | $4.27 | $6.92 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Florida Blue Setting Facility Modifier None Typical Low $2.45 Median $3.47 Typical High $6.92 | Facility | None | $2.45 | $3.47 | $6.92 |
Florida Blue Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $5.50 | Professional | None | $3.16 | $4.47 | $5.50 |
Molina Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $5.62 | Professional | None | $3.72 | $4.27 | $5.62 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.47 Typical High $60.26 | Professional | None | $3.09 | $4.47 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $7.41 | Professional | None | $3.39 | $3.39 | $7.41 |
Where Florida sits
The same service costs 2.7 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· 35th of 51
$3.89
HI $7.94NY $2.95
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.