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 $288.40 Median $1,096.48 Typical High $6,918.31 | Facility | Global | $288.40 | $1,096.48 | $6,918.31 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $549.54 Median $549.54 Typical High $891.25 | Facility | 50 · Both sides | $549.54 | $549.54 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $169.82 Median $338.84 Typical High $812.83 | Facility | 54 · Surgery only | $169.82 | $338.84 | $812.83 |
Aetna Setting Professional Modifier Global Typical Low $229.09 Median $295.12 Typical High $851.14 | Professional | Global | $229.09 | $295.12 | $851.14 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $933.25 Typical High $1,258.93 | Professional | 50 · Both sides | $794.33 | $933.25 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $213.80 Typical High $380.19 | Professional | 54 · Surgery only | $169.82 | $213.80 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $43.65 Typical High $75.86 | Professional | 55 · Aftercare only | $33.88 | $43.65 | $75.86 |
Ambetter Setting Professional Modifier Global Typical Low $194.98 Median $281.84 Typical High $371.54 | Professional | Global | $194.98 | $281.84 | $371.54 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | 50 · Both sides | $426.58 | $426.58 | $741.31 |
BCBS Setting Professional Modifier Global Typical Low $338.84 Median $426.58 Typical High $933.25 | Professional | Global | $338.84 | $426.58 | $933.25 |
Cigna Setting Professional Modifier Global Typical Low $257.04 Median $389.05 Typical High $707.95 | Professional | Global | $257.04 | $389.05 | $707.95 |
Medcost Setting Facility Modifier Global Typical Low $229.09 Median $354.81 Typical High $630.96 | Facility | Global | $229.09 | $354.81 | $630.96 |
Medcost Setting Professional Modifier Global Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | Global | $338.84 | $338.84 | $338.84 |
Oscar Health Setting Facility Modifier Global Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | Global | $1,000.00 | $1,000.00 | $1,000.00 |
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 $229.09 Median $346.74 Typical High $616.60 | Professional | Global | $229.09 | $346.74 | $616.60 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Wellcare Setting Professional Modifier Global Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | Global | $2,818.38 | $2,818.38 | $2,818.38 |
Where North Carolina sits
The same service costs 3.4 times more in Wyoming 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· 39th of 51
$347
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.