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 $141.25 Median $338.84 Typical High $1,122.02 | Professional | Global | $141.25 | $338.84 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $61.66 | $117.49 | $229.09 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $288.40 Typical High $954.99 | Professional | 50 · Both sides | $288.40 | $288.40 | $954.99 |
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 $338.84 Typical High $676.08 | Professional | TC · Technical part | $141.25 | $338.84 | $676.08 |
Ambetter Setting Professional Modifier Global Typical Low $199.53 Median $245.47 Typical High $512.86 | Professional | Global | $199.53 | $245.47 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $85.11 | $162.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 50 · Both sides | $363.08 | $363.08 | $363.08 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $104.71 | $181.97 | $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 $97.72 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $97.72 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $371.54 Typical High $794.33 | Professional | TC · Technical part | $154.88 | $371.54 | $794.33 |
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 $144.54 Typical High $371.54 | Professional | Global | $66.07 | $144.54 | $371.54 |
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 $58.88 Median $81.28 Typical High $204.17 | Professional | 26 · Professional part | $58.88 | $81.28 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $269.15 Typical High $616.60 | Professional | TC · Technical part | $144.54 | $269.15 | $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 4.2 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· 28th of 51
$355
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.