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 $10.00 Median $10.23 Typical High $33.11 | Facility | None | $10.00 | $10.23 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $38.02 | Professional | None | $10.00 | $10.00 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
BCBS North Carolina Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $33.88 | Professional | None | $22.91 | $26.92 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $29.51 | Professional | None | $13.80 | $21.88 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $24.55 | Facility | None | $10.00 | $10.00 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Oscar Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $52.48 | Professional | None | $13.80 | $21.38 | $52.48 |
Where North Carolina sits
The same service costs 5.4 times more in Vermont than in Kansas. 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· 49th of 51
$18.20
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.