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 $263.03 Median $2,454.71 Typical High $8,709.64 | Facility | Global | $263.03 | $2,454.71 | $8,709.64 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | 50 · Both sides | $8,317.64 | $8,317.64 | $8,317.64 |
Aetna Setting Professional Modifier Global Typical Low $263.03 Median $524.81 Typical High $1,047.13 | Professional | Global | $263.03 | $524.81 | $1,047.13 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 50 · Both sides | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $208.93 Typical High $660.69 | Professional | 52 · Reduced service | $131.83 | $208.93 | $660.69 |
Ambetter Setting Professional Modifier Global Typical Low $128.82 Median $302.00 Typical High $389.05 | Professional | Global | $128.82 | $302.00 | $389.05 |
BCBS Setting Professional Modifier Global Typical Low $426.58 Median $676.08 Typical High $1,584.89 | Professional | Global | $426.58 | $676.08 | $1,584.89 |
Cigna Setting Professional Modifier Global Typical Low $380.19 Median $645.65 Typical High $1,348.96 | Professional | Global | $380.19 | $645.65 | $1,348.96 |
Medcost Setting Facility Modifier Global Typical Low $275.42 Median $501.19 Typical High $1,096.48 | Facility | Global | $275.42 | $501.19 | $1,096.48 |
United Setting Facility Modifier Global Typical Low $3,388.44 Median $8,912.51 Typical High $16,982.44 | Facility | Global | $3,388.44 | $8,912.51 | $16,982.44 |
United Setting Professional Modifier Global Typical Low $323.59 Median $616.60 Typical High $1,202.26 | Professional | Global | $323.59 | $616.60 | $1,202.26 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $2,951.21 Typical High $2,951.21 | Facility | Global | $56.23 | $2,951.21 | $2,951.21 |
Wellcare Setting Professional Modifier Global Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | Global | $3,715.35 | $3,715.35 | $3,715.35 |
Where North Carolina sits
The same service costs 2.8 times more in California than in West Virginia. 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· 35th of 51
$603
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.