How much rates vary
Facilitymedian $8 · 10th to 90th $4 to $11Professionalmedian $7 · 10th to 90th $5 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 $8.32 Median $8.51 Typical High $9.33 | Facility | None | $8.32 | $8.51 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $9.33 | Professional | None | $6.61 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $4.27 Typical High $4.57 | Professional | 52 · Reduced service | $3.31 | $4.27 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.70 Typical High $1.86 | Professional | 53 · Discontinued | $1.32 | $1.70 | $1.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.90 Median $6.31 Typical High $6.92 | Professional | 54 · Surgery only | $4.90 | $6.31 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.26 Typical High $1.38 | Professional | 55 · Aftercare only | $1.00 | $1.26 | $1.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.85 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.66 | $0.85 | $0.91 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
AvMed Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
AvMed Setting Professional Modifier None Typical Low $6.92 Median $11.22 Typical High $12.02 | Professional | None | $6.92 | $11.22 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Florida Blue Setting Facility Modifier None Typical Low $3.89 Median $5.62 Typical High $11.22 | Facility | None | $3.89 | $5.62 | $11.22 |
Florida Blue Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $8.91 | Professional | None | $5.01 | $7.08 | $8.91 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $8.91 | Professional | None | $6.03 | $6.76 | $8.91 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.24 Typical High $60.26 | Professional | None | $4.90 | $7.24 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $12.02 | Professional | None | $5.50 | $5.50 | $12.02 |
Where Florida sits
The same service costs 2.9 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· 35th of 51
$6.61
RI $13.49NY $4.68
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.