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 $1,445.44 Median $9,549.93 Typical High $26,915.35 | Facility | Global | $1,445.44 | $9,549.93 | $26,915.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $1,148.15 Typical High $2,630.27 | Facility | 52 · Reduced service | $707.95 | $1,148.15 | $2,630.27 |
Medcost Setting Facility Modifier Global Typical Low $1,412.54 Median $1,862.09 Typical High $3,388.44 | Facility | Global | $1,412.54 | $1,862.09 | $3,388.44 |
United Setting Facility Modifier Global Typical Low $9,549.93 Median $21,379.62 Typical High $33,113.11 | Facility | Global | $9,549.93 | $21,379.62 | $33,113.11 |
Wellcare Setting Facility Modifier Global Typical Low $2,818.38 Median $28,840.32 Typical High $28,840.32 | Facility | Global | $2,818.38 | $28,840.32 | $28,840.32 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Facility | 52 · Reduced service | $22,908.68 | $22,908.68 | $22,908.68 |
Wellcare Setting Facility Modifier 62 · Two surgeons Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Facility | 62 · Two surgeons | $17,782.79 | $17,782.79 | $17,782.79 |
Wellcare Setting Facility Modifier AS · PA/NP assist Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | AS · PA/NP assist | $2,884.03 | $2,884.03 | $2,884.03 |
Where North Carolina sits
The same service costs 14.5 times more in West Virginia than in Arkansas. 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· 15th of 51
$9,550
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.