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 $64.57 Median $79.43 Typical High $199.53 | Facility | 26 · Professional part | $64.57 | $79.43 | $199.53 |
Aetna Setting Professional Modifier Global Typical Low $138.04 Median $380.19 Typical High $1,202.26 | Professional | Global | $138.04 | $380.19 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $117.49 Typical High $269.15 | Professional | 26 · Professional part | $63.10 | $117.49 | $269.15 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $616.60 Typical High $616.60 | Professional | 50 · Both sides | $288.40 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $186.21 Typical High $426.58 | Professional | 52 · Reduced service | $102.33 | $186.21 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $141.25 | $309.03 | $794.33 |
Ambetter Setting Professional Modifier Global Typical Low $199.53 Median $213.80 Typical High $389.05 | Professional | Global | $199.53 | $213.80 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $100.00 | $162.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 50 · Both sides | $371.54 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $104.71 | $169.82 | $389.05 |
BCBS Setting Professional Modifier Global Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | Global | $165.96 | $165.96 | $165.96 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $194.98 | Professional | 26 · Professional part | $104.71 | $151.36 | $194.98 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $602.56 Typical High $870.96 | Professional | TC · Technical part | $380.19 | $602.56 | $870.96 |
Cigna Setting Professional Modifier Global Typical Low $229.09 Median $512.86 Typical High $954.99 | Professional | Global | $229.09 | $512.86 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $100.00 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $154.88 | $371.54 | $776.25 |
Medcost Setting Professional Modifier Global Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | Global | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Oscar Health Setting Professional Modifier Global Typical Low $66.07 Median $147.91 Typical High $346.74 | Professional | Global | $66.07 | $147.91 | $346.74 |
United Setting Professional Modifier Global Typical Low $199.53 Median $380.19 Typical High $851.14 | Professional | Global | $199.53 | $380.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $257.04 | Professional | 26 · Professional part | $60.26 | $83.18 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $141.25 | $263.03 | $616.60 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Wellcare Setting Professional Modifier Global Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | Global | $2,884.03 | $2,884.03 | $2,884.03 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
Where North Carolina sits
The same service costs 4.6 times more in Wisconsin than in West Virginia. 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· 24th of 51
$380
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.