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 $45.71 Median $120.23 Typical High $3,981.07 | Facility | Global | $45.71 | $120.23 | $3,981.07 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $102.33 Median $295.12 Typical High $5,128.61 | Facility | 50 · Both sides | $102.33 | $295.12 | $5,128.61 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $16.22 Median $38.02 Typical High $91.20 | Facility | 52 · Reduced service | $16.22 | $38.02 | $91.20 |
Aetna Setting Professional Modifier Global Typical Low $32.36 Median $53.70 Typical High $151.36 | Professional | Global | $32.36 | $53.70 | $151.36 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $100.00 Typical High $269.15 | Professional | 50 · Both sides | $53.70 | $100.00 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $25.70 Typical High $66.07 | Professional | 52 · Reduced service | $16.22 | $25.70 | $66.07 |
Ambetter Setting Professional Modifier Global Typical Low $26.30 Median $50.12 Typical High $79.43 | Professional | Global | $26.30 | $50.12 | $79.43 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $97.72 Typical High $134.90 | Professional | 50 · Both sides | $63.10 | $97.72 | $134.90 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
BCBS Setting Professional Modifier Global Typical Low $41.69 Median $67.61 Typical High $128.82 | Professional | Global | $41.69 | $67.61 | $128.82 |
Cigna Setting Professional Modifier Global Typical Low $40.74 Median $64.57 Typical High $104.71 | Professional | Global | $40.74 | $64.57 | $104.71 |
Medcost Setting Facility Modifier Global Typical Low $32.36 Median $51.29 Typical High $85.11 | Facility | Global | $32.36 | $51.29 | $85.11 |
Medcost Setting Professional Modifier Global Typical Low $30.20 Median $30.20 Typical High $123.03 | Professional | Global | $30.20 | $30.20 | $123.03 |
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 $32.36 Median $50.12 Typical High $93.33 | Professional | Global | $32.36 | $50.12 | $93.33 |
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 $2,951.21 Typical High $2,951.21 | Facility | Global | $56.23 | $2,951.21 | $2,951.21 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Wellcare Setting Professional Modifier Global Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | Global | $346.74 | $346.74 | $398.11 |
Where North Carolina sits
The same service costs 2.4 times more in Alaska than in Alabama. 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· 33rd of 51
$56.23
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.