How much rates vary
Professionalmedian $41 · 10th to 90th $30 to $91
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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier Global Typical Low $30.20 Median $39.81 Typical High $93.33 | Professional | Global | $30.20 | $39.81 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $19.05 Typical High $27.54 | Professional | 52 · Reduced service | $15.14 | $19.05 | $27.54 |
Ambetter Setting Professional Modifier Global Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | Global | $42.66 | $53.70 | $75.86 |
BCBS Setting Professional Modifier Global Typical Low $38.90 Median $43.65 Typical High $64.57 | Professional | Global | $38.90 | $43.65 | $64.57 |
Cigna Setting Professional Modifier Global Typical Low $22.91 Median $42.66 Typical High $100.00 | Professional | Global | $22.91 | $42.66 | $100.00 |
United Setting Professional Modifier Global Typical Low $21.38 Median $32.36 Typical High $56.23 | Professional | Global | $21.38 | $32.36 | $56.23 |
Wellcare Setting Professional Modifier Global Typical Low $257.04 Median $257.04 Typical High $398.11 | Professional | Global | $257.04 | $257.04 | $398.11 |
Where North Carolina sits
The same service costs 2.1 times more in South Dakota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
North Carolina $40.74 · 25th of 51
SD $77.62DE $36.31
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.