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 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $125.89 | Facility | 26 · Professional part | $40.74 | $58.88 | $125.89 |
Aetna Setting Professional Modifier Global Typical Low $128.82 Median $257.04 Typical High $758.58 | Professional | Global | $128.82 | $257.04 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $194.98 | Professional | 26 · Professional part | $37.15 | $57.54 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $85.11 Typical High $251.19 | Professional | 52 · Reduced service | $64.57 | $85.11 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $169.82 Typical High $338.84 | Professional | TC · Technical part | $89.13 | $169.82 | $338.84 |
Ambetter Setting Professional Modifier Global Typical Low $95.50 Median $131.83 Typical High $239.88 | Professional | Global | $95.50 | $131.83 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $69.18 | $102.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $114.82 | $199.53 |
BCBS Setting Professional Modifier Global Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | Global | $141.25 | $141.25 | $141.25 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $123.03 | $151.36 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $331.13 | $478.63 |
Cigna Setting Professional Modifier Global Typical Low $138.04 Median $275.42 Typical High $501.19 | Professional | Global | $138.04 | $275.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $35.48 | $75.86 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $93.33 | $194.98 | $380.19 |
Medcost Setting Professional Modifier Global Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | Global | $380.19 | $380.19 | $380.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Oscar Health Setting Professional Modifier Global Typical Low $41.69 Median $91.20 Typical High $234.42 | Professional | Global | $41.69 | $91.20 | $234.42 |
United Setting Professional Modifier Global Typical Low $120.23 Median $234.42 Typical High $426.58 | Professional | Global | $120.23 | $234.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $41.69 | $63.10 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $165.96 | $309.03 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Wellcare Setting Professional Modifier Global Typical Low $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | Global | $1,380.38 | $1,513.56 | $1,513.56 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,230.27 |
Where North Carolina sits
The same service costs 3.4 times more in Wisconsin than in Washington, DC. 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· 19th of 51
$257
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.