How much rates vary
Facilitymedian $98 · 10th to 90th $15 to $1,288Professionalmedian $21 · 10th to 90th $12 to $45
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 $14.79 Median $97.72 Typical High $1,288.25 | Facility | Global | $14.79 | $97.72 | $1,288.25 |
Aetna Setting Professional Modifier Global Typical Low $12.02 Median $20.89 Typical High $45.71 | Professional | Global | $12.02 | $20.89 | $45.71 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $16.60 Median $33.11 Typical High $70.79 | Professional | 50 · Both sides | $16.60 | $33.11 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $8.32 Typical High $19.95 | Professional | 52 · Reduced service | $7.08 | $8.32 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.31 Typical High $7.94 | Professional | 53 · Discontinued | $2.82 | $3.31 | $7.94 |
Ambetter Setting Professional Modifier Global Typical Low $12.59 Median $20.89 Typical High $28.18 | Professional | Global | $12.59 | $20.89 | $28.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $20.42 Median $29.51 Typical High $37.15 | Professional | 50 · Both sides | $20.42 | $29.51 | $37.15 |
BCBS Setting Professional Modifier Global Typical Low $16.60 Median $20.89 Typical High $40.74 | Professional | Global | $16.60 | $20.89 | $40.74 |
Cigna Setting Professional Modifier Global Typical Low $15.14 Median $21.38 Typical High $36.31 | Professional | Global | $15.14 | $21.38 | $36.31 |
Medcost Setting Facility Modifier Global Typical Low $13.80 Median $16.22 Typical High $25.12 | Facility | Global | $13.80 | $16.22 | $25.12 |
Medcost Setting Professional Modifier Global Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | Global | $22.91 | $22.91 | $37.15 |
Oscar Health Setting Facility Modifier Global Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | Global | $1,445.44 | $1,445.44 | $1,445.44 |
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 $12.02 Median $16.60 Typical High $32.36 | Professional | Global | $12.02 | $16.60 | $32.36 |
United Setting Professional Modifier 50 · Both sides Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 50 · Both sides | $79.43 | $79.43 | $79.43 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $97.72 Typical High $97.72 | Facility | Global | $56.23 | $97.72 | $97.72 |
Wellcare Setting Professional Modifier Global Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | Global | $112.20 | $134.90 | $134.90 |
Where North Carolina sits
The same service costs 7.9 times more in Oklahoma than in Rhode Island. 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· 37th of 51
$22.39
OK $123RI $15.49
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.