How much rates vary
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 $128.82 Median $478.63 Typical High $691.83 | Facility | Global | $128.82 | $478.63 | $691.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $33.88 | Facility | 26 · Professional part | $21.88 | $28.84 | $33.88 |
Aetna Setting Professional Modifier Global Typical Low $109.65 Median $186.21 Typical High $645.65 | Professional | Global | $109.65 | $186.21 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $87.10 | Professional | 26 · Professional part | $19.95 | $23.44 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $63.10 Typical High $120.23 | Professional | 52 · Reduced service | $60.26 | $63.10 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $123.03 | $223.87 |
Ambetter Setting Professional Modifier Global Typical Low $100.00 Median $162.18 Typical High $229.09 | Professional | Global | $100.00 | $162.18 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $38.02 | $53.70 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
BCBS Setting Professional Modifier Global Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | Global | $57.54 | $57.54 | $57.54 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $20.42 | $37.15 | $72.44 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $104.71 | $151.36 | $363.08 |
Cigna Setting Facility Modifier Global Typical Low $165.96 Median $223.87 Typical High $660.69 | Facility | Global | $165.96 | $223.87 | $660.69 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $25.12 Typical High $36.31 | Facility | 26 · Professional part | $5.37 | $25.12 | $36.31 |
Cigna Setting Professional Modifier Global Typical Low $131.83 Median $213.80 Typical High $363.08 | Professional | Global | $131.83 | $213.80 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $177.83 | $295.12 |
Medcost Setting Professional Modifier Global Typical Low $194.98 Median $239.88 Typical High $251.19 | Professional | Global | $194.98 | $239.88 | $251.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $36.31 | $40.74 |
Medcost Setting Facility Modifier Global Typical Low $123.03 Median $190.55 Typical High $316.23 | Facility | Global | $123.03 | $190.55 | $316.23 |
Medcost Setting Professional Modifier Global Typical Low $104.71 Median $104.71 Typical High $338.84 | Professional | Global | $104.71 | $104.71 | $338.84 |
Oscar Health Setting Professional Modifier Global Typical Low $23.99 Median $125.89 Typical High $269.15 | Professional | Global | $23.99 | $125.89 | $269.15 |
United Setting Facility Modifier Global Typical Low $28.18 Median $131.83 Typical High $190.55 | Facility | Global | $28.18 | $131.83 | $190.55 |
United Setting Professional Modifier Global Typical Low $120.23 Median $165.96 Typical High $295.12 | Professional | Global | $120.23 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $58.88 | Professional | 26 · Professional part | $20.42 | $25.70 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $141.25 | $251.19 |
Wellcare Setting Facility Modifier Global Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | Global | $831.76 | $831.76 | $831.76 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Wellcare Setting Professional Modifier Global Typical Low $1,096.48 Median $1,202.26 Typical High $1,202.26 | Professional | Global | $1,096.48 | $1,202.26 | $1,202.26 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $933.25 | $1,071.52 | $1,071.52 |
Where North Carolina sits
The same service costs 2.8 times more in West Virginia than in Alabama. 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
$200
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.