How much rates vary
Facilitymedian $1,122 · 10th to 90th $316 to $6,761Professionalmedian $324 · 10th to 90th $269 to $933
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 $323.59 Median $1,202.26 Typical High $7,244.36 | Facility | Global | $323.59 | $1,202.26 | $7,244.36 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $724.44 Median $10,715.19 Typical High $10,715.19 | Facility | 50 · Both sides | $724.44 | $10,715.19 | $10,715.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $363.08 Typical High $912.01 | Facility | 54 · Surgery only | $223.87 | $363.08 | $912.01 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $75.86 Typical High $181.97 | Facility | 55 · Aftercare only | $44.67 | $75.86 | $181.97 |
Aetna Setting Professional Modifier Global Typical Low $269.15 Median $323.59 Typical High $707.95 | Professional | Global | $269.15 | $323.59 | $707.95 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $489.78 Typical High $1,023.29 | Professional | 50 · Both sides | $407.38 | $489.78 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $245.47 Typical High $446.68 | Professional | 54 · Surgery only | $218.78 | $245.47 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $95.50 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $95.50 |
Ambetter Setting Professional Modifier Global Typical Low $245.47 Median $316.23 Typical High $407.38 | Professional | Global | $245.47 | $316.23 | $407.38 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 50 · Both sides | $478.63 | $478.63 | $478.63 |
BCBS Setting Professional Modifier Global Typical Low $218.78 Median $380.19 Typical High $1,047.13 | Professional | Global | $218.78 | $380.19 | $1,047.13 |
Cigna Setting Professional Modifier Global Typical Low $263.03 Median $398.11 Typical High $707.95 | Professional | Global | $263.03 | $398.11 | $707.95 |
Medcost Setting Facility Modifier Global Typical Low $295.12 Median $380.19 Typical High $630.96 | Facility | Global | $295.12 | $380.19 | $630.96 |
Medcost Setting Professional Modifier Global Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | Global | $263.03 | $263.03 | $263.03 |
Oscar Health Setting Facility Modifier Global Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | Global | $794.33 | $794.33 | $794.33 |
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 $245.47 Median $323.59 Typical High $691.83 | Professional | Global | $245.47 | $323.59 | $691.83 |
Wellcare Setting Facility Modifier Global Typical Low $1,995.26 Median $1,995.26 Typical High $28,840.32 | Facility | Global | $1,995.26 | $1,995.26 | $28,840.32 |
Wellcare Setting Facility Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Wellcare Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Wellcare Setting Professional Modifier Global Typical Low $2,398.83 Median $2,398.83 Typical High $2,754.23 | Professional | Global | $2,398.83 | $2,398.83 | $2,754.23 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 51st of 51
$331
AK $933NC $331
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.