How much rates vary
Facilitymedian $1,000 · 10th to 90th $148 to $6,918Professionalmedian $170 · 10th to 90th $145 to $457
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 $147.91 Median $1,258.93 Typical High $7,585.78 | Facility | Global | $147.91 | $1,258.93 | $7,585.78 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $275.42 Median $870.96 Typical High $6,025.60 | Facility | 50 · Both sides | $275.42 | $870.96 | $6,025.60 |
Aetna Setting Professional Modifier Global Typical Low $141.25 Median $165.96 Typical High $467.74 | Professional | Global | $141.25 | $165.96 | $467.74 |
Ambetter Setting Professional Modifier Global Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | Global | $91.20 | $91.20 | $91.20 |
BCBS Setting Professional Modifier Global Typical Low $169.82 Median $204.17 Typical High $436.52 | Professional | Global | $169.82 | $204.17 | $436.52 |
Cigna Setting Professional Modifier Global Typical Low $169.82 Median $234.42 Typical High $371.54 | Professional | Global | $169.82 | $234.42 | $371.54 |
Medcost Setting Facility Modifier Global Typical Low $144.54 Median $199.53 Typical High $302.00 | Facility | Global | $144.54 | $199.53 | $302.00 |
Medcost Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $380.19 | Professional | Global | $151.36 | $151.36 | $380.19 |
United Setting Facility Modifier Global Typical Low $1,737.80 Median $3,548.13 Typical High $7,079.46 | Facility | Global | $1,737.80 | $3,548.13 | $7,079.46 |
United Setting Professional Modifier Global Typical Low $138.04 Median $181.97 Typical High $338.84 | Professional | Global | $138.04 | $181.97 | $338.84 |
Wellcare Setting Facility Modifier Global Typical Low $8,317.64 Median $8,317.64 Typical High $45,708.82 | Facility | Global | $8,317.64 | $8,317.64 | $45,708.82 |
Wellcare Setting Professional Modifier Global Typical Low $1,122.02 Median $1,122.02 Typical High $1,288.25 | Professional | Global | $1,122.02 | $1,122.02 | $1,288.25 |
Where North Carolina sits
The same service costs 19.5 times more in Nebraska than in Montana. 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.
Physician feeFacility fee
NE $8,225MT $422
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.