How much rates vary
Facilitymedian $62 · 10th to 90th $51 to $120Professionalmedian $65 · 10th to 90th $52 to $155
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 Professional Modifier Global Typical Low $53.70 Median $64.57 Typical High $141.25 | Professional | Global | $53.70 | $64.57 | $141.25 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 25 · Same-day visit | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $26.30 | $47.86 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 50 · Both sides | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $30.20 Typical High $41.69 | Professional | 52 · Reduced service | $23.99 | $30.20 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $28.84 | $33.88 | $58.88 |
Ambetter Setting Professional Modifier Global Typical Low $54.95 Median $60.26 Typical High $87.10 | Professional | Global | $54.95 | $60.26 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $28.84 | $35.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $33.11 | $33.11 | $33.11 |
BCBS Setting Professional Modifier Global Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | Global | $104.71 | $104.71 | $104.71 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $30.90 | $42.66 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $34.67 | $52.48 |
Cigna Setting Facility Modifier Global Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | Global | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $30.90 Typical High $44.67 | Facility | 26 · Professional part | $6.61 | $30.90 | $44.67 |
Cigna Setting Professional Modifier Global Typical Low $48.98 Median $89.13 Typical High $162.18 | Professional | Global | $48.98 | $89.13 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $37.15 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $51.29 | $95.50 |
Medcost Setting Facility Modifier Global Typical Low $51.29 Median $61.66 Typical High $107.15 | Facility | Global | $51.29 | $61.66 | $107.15 |
United Setting Professional Modifier Global Typical Low $38.90 Median $54.95 Typical High $83.18 | Professional | Global | $38.90 | $54.95 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $23.44 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $23.44 | $30.90 | $51.29 |
Wellcare Setting Facility Modifier Global Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | Global | $398.11 | $398.11 | $398.11 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Wellcare Setting Professional Modifier Global Typical Low $407.38 Median $407.38 Typical High $524.81 | Professional | Global | $407.38 | $407.38 | $524.81 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $213.80 | Professional | 26 · Professional part | $165.96 | $165.96 | $213.80 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $263.03 | $263.03 | $309.03 |
Where North Carolina sits
The same service costs 1.5 times more in Montana than in Delaware. 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· 35th of 51
$64.57
MT $89.13DE $57.54
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.