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 $234.42 Median $1,071.52 Typical High $4,168.69 | Facility | Global | $234.42 | $1,071.52 | $4,168.69 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier Global Typical Low $81.28 Median $229.09 Typical High $724.44 | Professional | Global | $81.28 | $229.09 | $724.44 |
Ambetter Setting Professional Modifier Global Typical Low $66.07 Median $120.23 Typical High $354.81 | Professional | Global | $66.07 | $120.23 | $354.81 |
BCBS Setting Professional Modifier Global Typical Low $141.25 Median $346.74 Typical High $691.83 | Professional | Global | $141.25 | $346.74 | $691.83 |
Cigna Setting Facility Modifier Global Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | Global | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier Global Typical Low $107.15 Median $245.47 Typical High $575.44 | Professional | Global | $107.15 | $245.47 | $575.44 |
Medcost Setting Facility Modifier Global Typical Low $85.11 Median $208.93 Typical High $363.08 | Facility | Global | $85.11 | $208.93 | $363.08 |
Medcost Setting Professional Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | Global | $234.42 | $234.42 | $234.42 |
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 $89.13 Median $213.80 Typical High $489.78 | Professional | Global | $89.13 | $213.80 | $489.78 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $2,187.76 Typical High $2,187.76 | Facility | Global | $56.23 | $2,187.76 | $2,187.76 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Wellcare Setting Professional Modifier Global Typical Low $1,584.89 Median $1,819.70 Typical High $1,819.70 | Professional | Global | $1,584.89 | $1,819.70 | $1,819.70 |
Where North Carolina sits
The same service costs 1.6 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· 6th of 51
$269
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.