How much rates vary
Professionalmedian $1,202 · 10th to 90th $661 to $4,365
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 $112.20 Median $112.20 Typical High $234.42 | Facility | 26 · Professional part | $112.20 | $112.20 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $239.88 | Facility | 53 · Discontinued | $151.36 | $151.36 | $239.88 |
Aetna Setting Professional Modifier Global Typical Low $660.69 Median $1,202.26 Typical High $4,365.16 | Professional | Global | $660.69 | $1,202.26 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $208.93 Typical High $575.44 | Professional | 26 · Professional part | $104.71 | $208.93 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $891.25 | Professional | 52 · Reduced service | $363.08 | $389.05 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $162.18 Typical High $562.34 | Professional | 53 · Discontinued | $144.54 | $162.18 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $741.31 Typical High $1,348.96 | Professional | TC · Technical part | $616.60 | $741.31 | $1,348.96 |
Ambetter Setting Professional Modifier Global Typical Low $741.31 Median $741.31 Typical High $1,148.15 | Professional | Global | $741.31 | $741.31 | $1,148.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $158.49 Typical High $331.13 | Professional | 26 · Professional part | $83.18 | $158.49 | $331.13 |
BCBS Setting Professional Modifier Global Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | Global | $457.09 | $457.09 | $457.09 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $354.81 Typical High $501.19 | Professional | 26 · Professional part | $229.09 | $354.81 | $501.19 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,230.27 Typical High $1,949.84 | Professional | TC · Technical part | $954.99 | $1,230.27 | $1,949.84 |
Cigna Setting Professional Modifier Global Typical Low $741.31 Median $1,230.27 Typical High $2,187.76 | Professional | Global | $741.31 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $229.09 Typical High $398.11 | Professional | 26 · Professional part | $117.49 | $229.09 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $977.24 Typical High $1,778.28 | Professional | TC · Technical part | $630.96 | $977.24 | $1,778.28 |
Medcost Setting Professional Modifier Global Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | Global | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Oscar Health Setting Professional Modifier Global Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | Global | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier Global Typical Low $741.31 Median $1,000.00 Typical High $1,862.09 | Professional | Global | $741.31 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $190.55 Typical High $323.59 | Professional | 26 · Professional part | $112.20 | $190.55 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $812.83 Typical High $1,548.82 | Professional | TC · Technical part | $616.60 | $812.83 | $1,548.82 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | 26 · Professional part | $794.33 | $794.33 | $794.33 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Wellcare Setting Professional Modifier Global Typical Low $5,495.41 Median $5,495.41 Typical High $5,888.44 | Professional | Global | $5,495.41 | $5,495.41 | $5,888.44 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | 26 · Professional part | $933.25 | $1,096.48 | $1,096.48 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $4,570.88 Median $4,570.88 Typical High $5,011.87 | Professional | TC · Technical part | $4,570.88 | $4,570.88 | $5,011.87 |
Where North Carolina sits
The same service costs 2.3 times more in Alaska than in Washington, DC. 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· 16th of 51
$1,202
AK $1,778DC $776
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.