How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $93.33 Median $288.40 Typical High $6,309.57 | Facility | Global | $93.33 | $288.40 | $6,309.57 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $30.90 Median $114.82 Typical High $380.19 | Facility | 52 · Reduced service | $30.90 | $114.82 | $380.19 |
Aetna Setting Professional Modifier Global Typical Low $61.66 Median $218.78 Typical High $676.08 | Professional | Global | $61.66 | $218.78 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $91.20 Typical High $269.15 | Professional | 52 · Reduced service | $30.90 | $91.20 | $269.15 |
Ambetter Setting Professional Modifier Global Typical Low $69.18 Median $208.93 Typical High $331.13 | Professional | Global | $69.18 | $208.93 | $331.13 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $44.67 | $44.67 | $52.48 |
BCBS Setting Professional Modifier Global Typical Low $85.11 Median $251.19 Typical High $512.86 | Professional | Global | $85.11 | $251.19 | $512.86 |
Cigna Setting Professional Modifier Global Typical Low $89.13 Median $194.98 Typical High $407.38 | Professional | Global | $89.13 | $194.98 | $407.38 |
Medcost Setting Facility Modifier Global Typical Low $61.66 Median $181.97 Typical High $323.59 | Facility | Global | $61.66 | $181.97 | $323.59 |
Medcost Setting Professional Modifier Global Typical Low $120.23 Median $120.23 Typical High $489.78 | Professional | Global | $120.23 | $120.23 | $489.78 |
United Setting Facility Modifier Global Typical Low $363.08 Median $891.25 Typical High $2,089.30 | Facility | Global | $363.08 | $891.25 | $2,089.30 |
United Setting Professional Modifier Global Typical Low $67.61 Median $165.96 Typical High $363.08 | Professional | Global | $67.61 | $165.96 | $363.08 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $4,365.16 Typical High $4,365.16 | Facility | Global | $56.23 | $4,365.16 | $4,365.16 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Wellcare Setting Professional Modifier Global Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | Global | $1,380.38 | $1,380.38 | $1,584.89 |
Where North Carolina sits
The same service costs 3.2 times more in Wisconsin than in Rhode Island. 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· 28th of 51
$224
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.