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 $141.25 Median $316.23 Typical High $354.81 | Facility | Global | $141.25 | $316.23 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $61.66 | Facility | 26 · Professional part | $34.67 | $35.48 | $61.66 |
Aetna Setting Professional Modifier Global Typical Low $131.83 Median $218.78 Typical High $676.08 | Professional | Global | $131.83 | $218.78 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $208.93 | Professional | 26 · Professional part | $34.67 | $45.71 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $125.89 Typical High $3,801.89 | Professional | 52 · Reduced service | $95.50 | $125.89 | $3,801.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $120.23 | $199.53 |
Ambetter Setting Professional Modifier Global Typical Low $120.23 Median $131.83 Typical High $239.88 | Professional | Global | $120.23 | $131.83 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $52.48 | $74.13 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $89.13 | $89.13 | $151.36 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $134.90 | Professional | 26 · Professional part | $38.02 | $53.70 | $134.90 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $95.50 | $138.04 | $302.00 |
Cigna Setting Facility Modifier Global Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | Global | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $45.71 Typical High $66.07 | Facility | 26 · Professional part | $9.77 | $45.71 | $66.07 |
Cigna Setting Professional Modifier Global Typical Low $128.82 Median $281.84 Typical High $457.09 | Professional | Global | $128.82 | $281.84 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $194.98 | $323.59 |
Medcost Setting Professional Modifier Global Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | Global | $257.04 | $323.59 | $323.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $75.86 | $95.50 | $95.50 |
Medcost Setting Facility Modifier Global Typical Low $131.83 Median $181.97 Typical High $354.81 | Facility | Global | $131.83 | $181.97 | $354.81 |
Medcost Setting Professional Modifier Global Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | Global | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier Global Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | Global | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier Global Typical Low $134.90 Median $204.17 Typical High $346.74 | Professional | Global | $134.90 | $204.17 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $60.26 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $147.91 | $245.47 |
Wellcare Setting Facility Modifier Global Typical Low $1,380.38 Median $1,380.38 Typical High $2,187.76 | Facility | Global | $1,380.38 | $1,380.38 | $2,187.76 |
Wellcare Setting Facility Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 26 · Professional part | $257.04 | $257.04 | $257.04 |
Wellcare Setting Professional Modifier Global Typical Low $1,023.29 Median $2,187.76 Typical High $2,187.76 | Professional | Global | $1,023.29 | $2,187.76 | $2,187.76 |
Wellcare Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $269.15 | $309.03 | $309.03 |
Wellcare Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $776.25 | $2,089.30 | $2,089.30 |
Where North Carolina sits
The same service costs 1.8 times more in South Dakota than in Oklahoma. 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· 14th of 51
$224
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.