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 $602.56 Median $5,128.61 Typical High $28,183.83 | Facility | Global | $602.56 | $5,128.61 | $28,183.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $229.09 Median $371.54 Typical High $870.96 | Facility | 52 · Reduced service | $229.09 | $371.54 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $147.91 Typical High $354.81 | Facility | 53 · Discontinued | $91.20 | $147.91 | $354.81 |
Medcost Setting Facility Modifier Global Typical Low $457.09 Median $630.96 Typical High $1,023.29 | Facility | Global | $457.09 | $630.96 | $1,023.29 |
United Setting Facility Modifier Global Typical Low $12,302.69 Median $25,703.96 Typical High $51,286.14 | Facility | Global | $12,302.69 | $25,703.96 | $51,286.14 |
Wellcare Setting Facility Modifier Global Typical Low $15,848.93 Median $54,954.09 Typical High $54,954.09 | Facility | Global | $15,848.93 | $54,954.09 | $54,954.09 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $43,651.58 Median $43,651.58 Typical High $43,651.58 | Facility | 52 · Reduced service | $43,651.58 | $43,651.58 | $43,651.58 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Facility | 53 · Discontinued | $10,964.78 | $10,964.78 | $10,964.78 |
Where North Carolina sits
The same service costs 147.9 times more in Delaware than in Maryland. 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· 26th of 51
$4,786
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.