How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $42.66 Median $44.67 Typical High $44.67 | Facility | None | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.51 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 54 · Surgery only | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.27 | $4.47 | $4.47 |
AvMed Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $128.82 | Facility | None | $97.72 | $107.15 | $128.82 |
AvMed Setting Professional Modifier None Typical Low $45.71 Median $107.15 Typical High $131.83 | Professional | None | $45.71 | $107.15 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $275.42 | Facility | None | $125.89 | $154.88 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Florida Blue Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $239.88 | Facility | None | $158.49 | $239.88 | $239.88 |
Florida Blue Setting Professional Modifier None Typical Low $45.71 Median $97.72 Typical High $131.83 | Professional | None | $45.71 | $97.72 | $131.83 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None | $39.81 | $39.81 | $50.12 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | None | $123.03 | $125.89 | $125.89 |
Where Florida sits
The same service costs 6.3 times more in North Dakota than in Hawaii. 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· 4th of 51
$126
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.