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 Global Typical Low $16.22 Median $34.67 Typical High $95.50 | Facility | Global | $16.22 | $34.67 | $95.50 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $16.98 | Facility | 26 · Professional part | $7.24 | $8.91 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $42.66 | Facility | TC · Technical part | $16.98 | $25.12 | $42.66 |
Aetna Setting Professional Modifier Global Typical Low $31.62 Median $54.95 Typical High $100.00 | Professional | Global | $31.62 | $54.95 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $53.70 | Professional | 26 · Professional part | $7.59 | $10.96 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $22.39 | $42.66 | $60.26 |
Ambetter Setting Professional Modifier Global Typical Low $21.38 Median $43.65 Typical High $64.57 | Professional | Global | $21.38 | $43.65 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $5.01 | $12.02 | $19.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $20.42 Typical High $25.12 | Professional | 26 · Professional part | $9.12 | $20.42 | $25.12 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $28.84 | $33.11 | $58.88 |
Cigna Setting Professional Modifier Global Typical Low $19.95 Median $33.88 Typical High $85.11 | Professional | Global | $19.95 | $33.88 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.94 Typical High $19.05 | Professional | 26 · Professional part | $5.37 | $7.94 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $24.55 Typical High $67.61 | Professional | TC · Technical part | $14.13 | $24.55 | $67.61 |
Medcost Setting Professional Modifier Global Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | Global | $89.13 | $89.13 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.89 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.89 |
Medcost Setting Facility Modifier Global Typical Low $31.62 Median $53.70 Typical High $109.65 | Facility | Global | $31.62 | $53.70 | $109.65 |
Medcost Setting Professional Modifier Global Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | Global | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier Global Typical Low $23.44 Median $39.81 Typical High $89.13 | Professional | Global | $23.44 | $39.81 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $11.22 Typical High $28.18 | Professional | 26 · Professional part | $6.31 | $11.22 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $28.84 Typical High $77.62 | Professional | TC · Technical part | $16.60 | $28.84 | $77.62 |
Wellcare Setting Facility Modifier Global Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | Global | $263.03 | $263.03 | $263.03 |
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 $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
Wellcare Setting Professional Modifier Global Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | Global | $363.08 | $371.54 | $371.54 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $269.15 | $275.42 | $275.42 |
Where North Carolina sits
The same service costs 3.8 times more in West Virginia than in Alabama. 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
$52.48
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.