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 $70.79 Median $87.10 Typical High $218.78 | Facility | 26 · Professional part | $70.79 | $87.10 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $85.11 Typical High $165.96 | Facility | 53 · Discontinued | $39.81 | $85.11 | $165.96 |
Aetna Setting Professional Modifier Global Typical Low $199.53 Median $371.54 Typical High $1,258.93 | Professional | Global | $199.53 | $371.54 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $288.40 | Professional | 26 · Professional part | $64.57 | $104.71 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $186.21 Typical High $416.87 | Professional | 52 · Reduced service | $100.00 | $186.21 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $128.82 | $309.03 | $794.33 |
Ambetter Setting Professional Modifier Global Typical Low $181.97 Median $199.53 Typical High $501.19 | Professional | Global | $181.97 | $199.53 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $54.95 | $102.33 | $177.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $165.96 | $204.17 |
BCBS Setting Professional Modifier Global Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | Global | $186.21 | $186.21 | $186.21 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $177.83 | $213.80 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $660.69 Typical High $870.96 | Professional | TC · Technical part | $363.08 | $660.69 | $870.96 |
Cigna Setting Professional Modifier Global Typical Low $223.87 Median $512.86 Typical High $1,023.29 | Professional | Global | $223.87 | $512.86 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $107.15 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $346.74 Typical High $851.14 | Professional | TC · Technical part | $141.25 | $346.74 | $851.14 |
Medcost Setting Professional Modifier Global Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | Global | $794.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Oscar Health Setting Professional Modifier Global Typical Low $70.79 Median $147.91 Typical High $331.13 | Professional | Global | $70.79 | $147.91 | $331.13 |
United Setting Professional Modifier Global Typical Low $194.98 Median $371.54 Typical High $831.76 | Professional | Global | $194.98 | $371.54 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $223.87 | Professional | 26 · Professional part | $66.07 | $89.13 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $630.96 | Professional | TC · Technical part | $128.82 | $245.47 | $630.96 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 26 · Professional part | $446.68 | $446.68 | $446.68 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 53 · Discontinued | $524.81 | $524.81 | $524.81 |
Wellcare Setting Professional Modifier Global Typical Low $2,951.21 Median $3,019.95 Typical High $3,019.95 | Professional | Global | $2,951.21 | $3,019.95 | $3,019.95 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Where North Carolina sits
The same service costs 2.7 times more in Wisconsin than in New Mexico. 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· 34th of 51
$372
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.