How much rates vary
Facilitymedian $6,310 · 10th to 90th $105 to $10,715Professionalmedian $138 · 10th to 90th $105 to $331
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 $104.71 Median $104.71 Typical High $7,943.28 | Facility | None | $104.71 | $104.71 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 54 · Surgery only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.72 |
BCBS North Carolina Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $204.17 | Professional | None | $109.65 | $125.89 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | None | $104.71 | $104.71 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $8,317.64 Typical High $12,882.50 | Facility | None | $5,128.61 | $8,317.64 | $12,882.50 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $363.08 | Professional | None | $109.65 | $158.49 | $363.08 |
Where North Carolina sits
The same service costs 51.3 times more in Oklahoma than in Kentucky. 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.
North Carolina· 42nd of 51
$155
OK $5,754KY $112
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.