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 $239.88 Median $1,202.26 Typical High $7,244.36 | Facility | Global | $239.88 | $1,202.26 | $7,244.36 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $1,348.96 Typical High $1,348.96 | Facility | 50 · Both sides | $707.95 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $147.91 Median $316.23 Typical High $794.33 | Facility | 54 · Surgery only | $147.91 | $316.23 | $794.33 |
Aetna Setting Professional Modifier Global Typical Low $199.53 Median $275.42 Typical High $691.83 | Professional | Global | $199.53 | $275.42 | $691.83 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $70.79 Median $758.58 Typical High $1,023.29 | Professional | 50 · Both sides | $70.79 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $190.55 Typical High $616.60 | Professional | 54 · Surgery only | $147.91 | $190.55 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $35.48 Typical High $66.07 | Professional | 55 · Aftercare only | $29.51 | $35.48 | $66.07 |
Ambetter Setting Professional Modifier Global Typical Low $165.96 Median $234.42 Typical High $575.44 | Professional | Global | $165.96 | $234.42 | $575.44 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $371.54 Typical High $851.14 | Professional | 50 · Both sides | $346.74 | $371.54 | $851.14 |
BCBS Setting Professional Modifier Global Typical Low $281.84 Median $398.11 Typical High $776.25 | Professional | Global | $281.84 | $398.11 | $776.25 |
Cigna Setting Professional Modifier Global Typical Low $234.42 Median $346.74 Typical High $616.60 | Professional | Global | $234.42 | $346.74 | $616.60 |
Medcost Setting Facility Modifier Global Typical Low $199.53 Median $302.00 Typical High $575.44 | Facility | Global | $199.53 | $302.00 | $575.44 |
Medcost Setting Professional Modifier Global Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | Global | $478.63 | $478.63 | $478.63 |
Oscar Health Setting Facility Modifier Global Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | Global | $660.69 | $660.69 | $660.69 |
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 $194.98 Median $281.84 Typical High $537.03 | Professional | Global | $194.98 | $281.84 | $537.03 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $56.23 Typical High $2,951.21 | Facility | Global | $56.23 | $56.23 | $2,951.21 |
Wellcare Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Wellcare Setting Professional Modifier Global Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | Global | $4,677.35 | $4,677.35 | $4,677.35 |
Where North Carolina sits
The same service costs 2.6 times more in Alaska 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· 44th of 51
$295
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.