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 $346.74 Median $5,128.61 Typical High $9,549.93 | Facility | Global | $346.74 | $5,128.61 | $9,549.93 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | 50 · Both sides | $6,760.83 | $6,760.83 | $6,760.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $1,148.15 Typical High $2,754.23 | Facility | 52 · Reduced service | $707.95 | $1,148.15 | $2,754.23 |
Medcost Setting Facility Modifier Global Typical Low $1,412.54 Median $1,819.70 Typical High $2,691.53 | Facility | Global | $1,412.54 | $1,819.70 | $2,691.53 |
United Setting Facility Modifier Global Typical Low $3,801.89 Median $6,918.31 Typical High $12,882.50 | Facility | Global | $3,801.89 | $6,918.31 | $12,882.50 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $9,120.11 Typical High $9,120.11 | Facility | Global | $56.23 | $9,120.11 | $9,120.11 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | 52 · Reduced service | $7,244.36 | $7,244.36 | $7,244.36 |
Wellcare Setting Facility Modifier 62 · Two surgeons Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | 62 · Two surgeons | $5,623.41 | $5,623.41 | $5,623.41 |
Wellcare Setting Facility Modifier AS · PA/NP assist Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | AS · PA/NP assist | $912.01 | $912.01 | $912.01 |
Where North Carolina sits
The same service costs 38.9 times more in West Virginia 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· 18th of 50
$5,012
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.