How much rates vary
Facilitymedian $891 · 10th to 90th $117 to $5,888Professionalmedian $240 · 10th to 90th $76 to $617
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 $131.83 Median $1,023.29 Typical High $5,888.44 | Facility | Global | $131.83 | $1,023.29 | $5,888.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $38.90 Median $125.89 Typical High $371.54 | Facility | 52 · Reduced service | $38.90 | $125.89 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $50.12 Typical High $151.36 | Facility | 53 · Discontinued | $15.85 | $50.12 | $151.36 |
Aetna Setting Professional Modifier Global Typical Low $74.13 Median $239.88 Typical High $616.60 | Professional | Global | $74.13 | $239.88 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $104.71 Typical High $234.42 | Professional | 52 · Reduced service | $38.90 | $104.71 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $44.67 Typical High $93.33 | Professional | 53 · Discontinued | $15.85 | $44.67 | $93.33 |
Ambetter Setting Professional Modifier Global Typical Low $102.33 Median $239.88 Typical High $363.08 | Professional | Global | $102.33 | $239.88 | $363.08 |
BCBS Setting Professional Modifier Global Typical Low $138.04 Median $346.74 Typical High $537.03 | Professional | Global | $138.04 | $346.74 | $537.03 |
Cigna Setting Professional Modifier Global Typical Low $117.49 Median $245.47 Typical High $457.09 | Professional | Global | $117.49 | $245.47 | $457.09 |
Medcost Setting Facility Modifier Global Typical Low $81.28 Median $239.88 Typical High $380.19 | Facility | Global | $81.28 | $239.88 | $380.19 |
Medcost Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $537.03 | Professional | Global | $190.55 | $190.55 | $537.03 |
Oscar Health Setting Facility Modifier Global Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | Global | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier Global Typical Low $912.01 Median $2,344.23 Typical High $4,365.16 | Facility | Global | $912.01 | $2,344.23 | $4,365.16 |
United Setting Professional Modifier Global Typical Low $93.33 Median $199.53 Typical High $389.05 | Professional | Global | $93.33 | $199.53 | $389.05 |
Wellcare Setting Facility Modifier Global Typical Low $1,995.26 Median $2,290.87 Typical High $19,498.45 | Facility | Global | $1,995.26 | $2,290.87 | $19,498.45 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Wellcare Setting Professional Modifier Global Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | Global | $1,584.89 | $1,584.89 | $1,862.09 |
Where North Carolina sits
The same service costs 2.3 times more in Wisconsin 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· 40th of 51
$257
WI $457WV $200
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.