How much rates vary
Facilitymedian $40 · 10th to 90th $30 to $79Professionalmedian $37 · 10th to 90th $29 to $89
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 Global Typical Low $57.54 Median $64.57 Typical High $158.49 | Facility | Global | $57.54 | $64.57 | $158.49 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $75.86 Typical High $83.18 | Facility | 52 · Reduced service | $39.81 | $75.86 | $83.18 |
Aetna Setting Professional Modifier Global Typical Low $29.51 Median $37.15 Typical High $89.13 | Professional | Global | $29.51 | $37.15 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $17.78 Typical High $27.54 | Professional | 52 · Reduced service | $15.14 | $17.78 | $27.54 |
Ambetter Setting Professional Modifier Global Typical Low $29.51 Median $35.48 Typical High $64.57 | Professional | Global | $29.51 | $35.48 | $64.57 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $12.02 Typical High $19.05 | Professional | 52 · Reduced service | $8.71 | $12.02 | $19.05 |
BCBS Setting Professional Modifier Global Typical Low $25.12 Median $38.02 Typical High $52.48 | Professional | Global | $25.12 | $38.02 | $52.48 |
Cigna Setting Facility Modifier Global Typical Low $38.02 Median $43.65 Typical High $51.29 | Facility | Global | $38.02 | $43.65 | $51.29 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier Global Typical Low $30.90 Median $51.29 Typical High $102.33 | Professional | Global | $30.90 | $51.29 | $102.33 |
Medcost Setting Facility Modifier Global Typical Low $28.18 Median $37.15 Typical High $57.54 | Facility | Global | $28.18 | $37.15 | $57.54 |
United Setting Professional Modifier Global Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | Global | $24.55 | $33.88 | $60.26 |
Wellcare Setting Facility Modifier Global Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | Global | $204.17 | $204.17 | $204.17 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Wellcare Setting Professional Modifier Global Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | Global | $288.40 | $288.40 | $295.12 |
Where North Carolina sits
The same service costs 1.9 times more in South Dakota 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· 33rd of 51
$37.15
SD $61.66DE $33.11
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.