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 $758.58 Median $6,918.31 Typical High $15,848.93 | Facility | Global | $758.58 | $6,918.31 | $15,848.93 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $954.99 | Facility | 52 · Reduced service | $380.19 | $380.19 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $380.19 | Facility | 53 · Discontinued | $151.36 | $151.36 | $380.19 |
Medcost Setting Facility Modifier Global Typical Low $691.83 Median $912.01 Typical High $1,584.89 | Facility | Global | $691.83 | $912.01 | $1,584.89 |
United Setting Facility Modifier Global Typical Low $6,025.60 Median $11,748.98 Typical High $23,988.33 | Facility | Global | $6,025.60 | $11,748.98 | $23,988.33 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $4,786.30 Typical High $4,786.30 | Facility | Global | $56.23 | $4,786.30 | $4,786.30 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | 52 · Reduced service | $3,801.89 | $3,801.89 | $3,801.89 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 53 · Discontinued | $954.99 | $954.99 | $954.99 |
Wellcare Setting Facility Modifier 62 · Two surgeons Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | 62 · Two surgeons | $3,019.95 | $3,019.95 | $3,019.95 |
Where North Carolina sits
The same service costs 45.7 times more in Indiana 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.
North Carolina· 19th of 50
$6,918
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.