How much rates vary
Professionalmedian $204 · 10th to 90th $105 to $676
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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $125.89 | Facility | 26 · Professional part | $39.81 | $50.12 | $125.89 |
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $208.93 Typical High $676.08 | Professional | Global | $104.71 | $208.93 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $42.66 Typical High $144.54 | Professional | 26 · Professional part | $8.32 | $42.66 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $63.10 | $123.03 | $295.12 |
Ambetter Setting Professional Modifier Global Typical Low $109.65 Median $199.53 Typical High $269.15 | Professional | Global | $109.65 | $199.53 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $36.31 | $63.10 | $100.00 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $45.71 | $87.10 | $151.36 |
BCBS Setting Professional Modifier Global Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | Global | $107.15 | $107.15 | $107.15 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $100.00 | $123.03 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $295.12 | $467.74 |
Cigna Setting Professional Modifier Global Typical Low $112.20 Median $245.47 Typical High $407.38 | Professional | Global | $112.20 | $245.47 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $61.66 Typical High $114.82 | Professional | 26 · Professional part | $34.67 | $61.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $69.18 | $165.96 | $309.03 |
Medcost Setting Professional Modifier Global Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | Global | $354.81 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Oscar Health Setting Professional Modifier Global Typical Low $40.74 Median $85.11 Typical High $181.97 | Professional | Global | $40.74 | $85.11 | $181.97 |
United Setting Professional Modifier Global Typical Low $100.00 Median $190.55 Typical High $489.78 | Professional | Global | $100.00 | $190.55 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $54.95 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $67.61 | $125.89 | $229.09 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | 26 · Professional part | $251.19 | $251.19 | $251.19 |
Wellcare Setting Professional Modifier Global Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | Global | $1,318.26 | $1,318.26 | $1,318.26 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Where North Carolina sits
The same service costs 2.7 times more in Wisconsin than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
North Carolina $204 · 17th of 51
WI $302DC $112
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.