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 $6.92 Median $9.33 Typical High $23.99 | Facility | 26 · Professional part | $6.92 | $9.33 | $23.99 |
Aetna Setting Professional Modifier Global Typical Low $20.89 Median $38.90 Typical High $81.28 | Professional | Global | $20.89 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.77 Typical High $26.92 | Professional | 26 · Professional part | $6.46 | $9.77 | $26.92 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $91.20 Typical High $120.23 | Professional | 50 · Both sides | $44.67 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $12.59 Typical High $47.86 | Professional | 52 · Reduced service | $10.47 | $12.59 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $16.98 | $26.30 | $58.88 |
Ambetter Setting Professional Modifier Global Typical Low $21.38 Median $37.15 Typical High $56.23 | Professional | Global | $21.38 | $37.15 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.23 Typical High $19.50 | Professional | 26 · Professional part | $5.75 | $10.23 | $19.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $19.05 | $20.42 | $33.88 |
BCBS Setting Professional Modifier Global Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | Global | $19.95 | $19.95 | $19.95 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $17.78 | $22.91 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $33.88 | $56.23 |
Cigna Setting Professional Modifier Global Typical Low $24.55 Median $40.74 Typical High $70.79 | Professional | Global | $24.55 | $40.74 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $6.46 | $11.75 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $16.98 | $27.54 | $52.48 |
Medcost Setting Professional Modifier Global Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | Global | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Oscar Health Setting Professional Modifier Global Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | Global | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier Global Typical Low $24.55 Median $33.88 Typical High $95.50 | Professional | Global | $24.55 | $33.88 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $40.74 | Professional | 26 · Professional part | $7.24 | $10.00 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $60.26 | Professional | TC · Technical part | $17.38 | $23.44 | $60.26 |
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 Professional Modifier Global Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | Global | $186.21 | $186.21 | $239.88 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $63.10 | $67.61 | $67.61 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $147.91 | $147.91 | $177.83 |
Where North Carolina sits
The same service costs 2.9 times more in Wisconsin than in Florida. 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· 13th of 51
$38.90
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.