How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $363.08 Median $363.08 Typical High $436.52 | Facility | None | $363.08 | $363.08 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $363.08 | Professional | None | $245.47 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $120.23 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $48.98 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $36.31 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $24.55 | $36.31 | $36.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $407.38 | Professional | None | $239.88 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $851.14 | Facility | None | $446.68 | $467.74 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | None | $398.11 | $398.11 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $363.08 | Facility | None | $288.40 | $288.40 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $426.58 | Professional | None | $239.88 | $239.88 | $426.58 |
Where North Carolina sits
The same service costs 8.7 times more in Alabama than in Rhode Island. 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· 12th of 51
$363
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.