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 Professional Modifier Global Typical Low $194.98 Median $478.63 Typical High $1,258.93 | Professional | Global | $194.98 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $100.00 Typical High $269.15 | Professional | 26 · Professional part | $66.07 | $100.00 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $398.11 | Professional | 52 · Reduced service | $97.72 | $186.21 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $269.15 Typical High $575.44 | Professional | TC · Technical part | $109.65 | $269.15 | $575.44 |
Ambetter Setting Professional Modifier Global Typical Low $181.97 Median $229.09 Typical High $489.78 | Professional | Global | $181.97 | $229.09 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $53.70 | $120.23 | $177.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $186.21 | $229.09 |
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 $169.82 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $169.82 | $213.80 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $616.60 Typical High $891.25 | Professional | TC · Technical part | $346.74 | $616.60 | $891.25 |
Cigna Setting Professional Modifier Global Typical Low $218.78 Median $501.19 Typical High $977.24 | Professional | Global | $218.78 | $501.19 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $61.66 | $107.15 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $323.59 Typical High $794.33 | Professional | TC · Technical part | $138.04 | $323.59 | $794.33 |
Medcost Setting Professional Modifier Global Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | Global | $870.96 | $870.96 | $870.96 |
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 $323.59 | Professional | Global | $70.79 | $147.91 | $323.59 |
United Setting Professional Modifier Global Typical Low $186.21 Median $363.08 Typical High $812.83 | Professional | Global | $186.21 | $363.08 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $281.84 | Professional | 26 · Professional part | $66.07 | $89.13 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $234.42 | $602.56 |
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 Professional Modifier Global Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | Global | $3,235.94 | $3,235.94 | $3,235.94 |
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
Where North Carolina sits
The same service costs 2.6 times more in Wisconsin than in Oklahoma. 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· 12th of 51
$479
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.