How much rates vary
Facilitymedian $3,467 · 10th to 90th $120 to $7,413Professionalmedian $158 · 10th to 90th $120 to $389
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 $120.23 Median $1,000.00 Typical High $7,943.28 | Facility | None | $120.23 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $1,584.89 | Professional | None | $120.23 | $120.23 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 54 · Surgery only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
BCBS North Carolina Setting Professional Modifier None Typical Low $97.72 Median $204.17 Typical High $229.09 | Professional | None | $97.72 | $204.17 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $120.23 | Facility | None | $117.49 | $117.49 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $4,168.69 Typical High $7,079.46 | Facility | None | $1,995.26 | $4,168.69 | $7,079.46 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $354.81 | Professional | None | $123.03 | $177.83 | $354.81 |
Where North Carolina sits
The same service costs 37.2 times more in Oklahoma than in New York. 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· 30th of 51
$191
OK $4,266NY $115
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.