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 $100.00 Median $331.13 Typical High $5,248.07 | Facility | Global | $100.00 | $331.13 | $5,248.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $31.62 Median $85.11 Typical High $199.53 | Facility | 52 · Reduced service | $31.62 | $85.11 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $33.88 Typical High $79.43 | Facility | 53 · Discontinued | $12.59 | $33.88 | $79.43 |
Aetna Setting Professional Modifier Global Typical Low $77.62 Median $134.90 Typical High $478.63 | Professional | Global | $77.62 | $134.90 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $50.12 Typical High $141.25 | Professional | 52 · Reduced service | $31.62 | $50.12 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $25.12 Typical High $67.61 | Professional | 53 · Discontinued | $12.59 | $25.12 | $67.61 |
Ambetter Setting Professional Modifier Global Typical Low $74.13 Median $120.23 Typical High $169.82 | Professional | Global | $74.13 | $120.23 | $169.82 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $131.83 Typical High $186.21 | Professional | 53 · Discontinued | $102.33 | $131.83 | $186.21 |
BCBS Setting Professional Modifier Global Typical Low $97.72 Median $177.83 Typical High $288.40 | Professional | Global | $97.72 | $177.83 | $288.40 |
Cigna Setting Professional Modifier Global Typical Low $93.33 Median $141.25 Typical High $234.42 | Professional | Global | $93.33 | $141.25 | $234.42 |
Medcost Setting Facility Modifier Global Typical Low $63.10 Median $112.20 Typical High $190.55 | Facility | Global | $63.10 | $112.20 | $190.55 |
Medcost Setting Professional Modifier Global Typical Low $186.21 Median $186.21 Typical High $251.19 | Professional | Global | $186.21 | $186.21 | $251.19 |
United Setting Facility Modifier Global Typical Low $363.08 Median $891.25 Typical High $2,089.30 | Facility | Global | $363.08 | $891.25 | $2,089.30 |
United Setting Professional Modifier Global Typical Low $74.13 Median $117.49 Typical High $204.17 | Professional | Global | $74.13 | $117.49 | $204.17 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $3,890.45 Typical High $3,890.45 | Facility | Global | $56.23 | $3,890.45 | $3,890.45 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Wellcare Setting Professional Modifier Global Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | Global | $724.44 | $724.44 | $851.14 |
Where North Carolina sits
The same service costs 3.7 times more in Wisconsin than in Maine. 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· 23rd of 51
$155
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.