How much rates vary
Professionalmedian $41 · 10th to 90th $14 to $105
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 $6.03 Median $7.59 Typical High $20.89 | Facility | 26 · Professional part | $6.03 | $7.59 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $281.84 | Facility | TC · Technical part | $26.30 | $37.15 | $281.84 |
Aetna Setting Professional Modifier Global Typical Low $14.45 Median $40.74 Typical High $104.71 | Professional | Global | $14.45 | $40.74 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $10.23 Typical High $35.48 | Professional | 26 · Professional part | $5.89 | $10.23 | $35.48 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $134.90 Typical High $154.88 | Professional | 50 · Both sides | $35.48 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $16.22 Typical High $44.67 | Professional | 52 · Reduced service | $12.30 | $16.22 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $40.74 Typical High $81.28 | Professional | TC · Technical part | $22.39 | $40.74 | $81.28 |
Ambetter Setting Professional Modifier Global Typical Low $26.30 Median $43.65 Typical High $66.07 | Professional | Global | $26.30 | $43.65 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $10.72 | $16.60 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 50 · Both sides | $61.66 | $61.66 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $36.31 | $47.86 |
BCBS Setting Professional Modifier Global Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | Global | $16.22 | $16.22 | $16.22 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $9.55 | $14.45 | $19.05 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $27.54 | $41.69 | $72.44 |
Cigna Setting Professional Modifier Global Typical Low $27.54 Median $47.86 Typical High $89.13 | Professional | Global | $27.54 | $47.86 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $5.62 | $10.00 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $37.15 Typical High $74.13 | Professional | TC · Technical part | $20.42 | $37.15 | $74.13 |
Medcost Setting Professional Modifier Global Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | Global | $36.31 | $36.31 | $36.31 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $11.75 | $11.75 | $11.75 |
Oscar Health Setting Professional Modifier Global Typical Low $7.08 Median $33.88 Typical High $72.44 | Professional | Global | $7.08 | $33.88 | $72.44 |
United Setting Professional Modifier Global Typical Low $26.30 Median $40.74 Typical High $89.13 | Professional | Global | $26.30 | $40.74 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $33.88 | Professional | 26 · Professional part | $6.17 | $8.51 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $32.36 Typical High $79.43 | Professional | TC · Technical part | $20.42 | $32.36 | $79.43 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Wellcare Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | TC · Technical part | $199.53 | $199.53 | $199.53 |
Wellcare Setting Professional Modifier Global Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | Global | $239.88 | $239.88 | $323.59 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 26 · Professional part | $53.70 | $53.70 | $54.95 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | TC · Technical part | $199.53 | $199.53 | $269.15 |
Where North Carolina sits
The same service costs 2.5 times more in Wisconsin than in South Dakota. 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· 23rd of 51
$40.74
WI $75.86SD $30.90
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.