How much rates vary
Facilitymedian $55 · 10th to 90th $31 to $129Professionalmedian $51 · 10th to 90th $29 to $105
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 $35.48 Median $61.66 Typical High $162.18 | Facility | Global | $35.48 | $61.66 | $162.18 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $34.67 Median $87.10 Typical High $204.17 | Facility | 25 · Same-day visit | $34.67 | $87.10 | $204.17 |
Aetna Setting Professional Modifier Global Typical Low $25.70 Median $48.98 Typical High $107.15 | Professional | Global | $25.70 | $48.98 | $107.15 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $33.88 Median $58.88 Typical High $117.49 | Professional | 25 · Same-day visit | $33.88 | $58.88 | $117.49 |
Ambetter Setting Professional Modifier Global Typical Low $30.20 Median $54.95 Typical High $83.18 | Professional | Global | $30.20 | $54.95 | $83.18 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $35.48 Median $56.23 Typical High $83.18 | Professional | 25 · Same-day visit | $35.48 | $56.23 | $83.18 |
BCBS Setting Professional Modifier Global Typical Low $35.48 Median $52.48 Typical High $100.00 | Professional | Global | $35.48 | $52.48 | $100.00 |
Cigna Setting Facility Modifier Global Typical Low $50.12 Median $120.23 Typical High $151.36 | Facility | Global | $50.12 | $120.23 | $151.36 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | 22 · Increased work | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | 62 · Two surgeons | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | AS · PA/NP assist | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier Global Typical Low $29.51 Median $48.98 Typical High $87.10 | Professional | Global | $29.51 | $48.98 | $87.10 |
Medcost Setting Professional Modifier Global Typical Low $26.92 Median $45.71 Typical High $104.71 | Professional | Global | $26.92 | $45.71 | $104.71 |
Medcost Setting Facility Modifier Global Typical Low $28.84 Median $47.86 Typical High $77.62 | Facility | Global | $28.84 | $47.86 | $77.62 |
Medcost Setting Professional Modifier Global Typical Low $30.20 Median $30.20 Typical High $114.82 | Professional | Global | $30.20 | $30.20 | $114.82 |
Oscar Health Setting Professional Modifier Global Typical Low $33.11 Median $61.66 Typical High $123.03 | Professional | Global | $33.11 | $61.66 | $123.03 |
United Setting Facility Modifier Global Typical Low $48.98 Median $75.86 Typical High $147.91 | Facility | Global | $48.98 | $75.86 | $147.91 |
United Setting Professional Modifier Global Typical Low $23.44 Median $41.69 Typical High $83.18 | Professional | Global | $23.44 | $41.69 | $83.18 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $52.48 Median $79.43 Typical High $89.13 | Professional | 25 · Same-day visit | $52.48 | $79.43 | $89.13 |
Wellcare Setting Facility Modifier Global Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | Global | $223.87 | $223.87 | $223.87 |
Wellcare Setting Facility Modifier 62 · Two surgeons Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 62 · Two surgeons | $141.25 | $141.25 | $141.25 |
Wellcare Setting Facility Modifier AS · PA/NP assist Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | AS · PA/NP assist | $22.39 | $22.39 | $22.39 |
Wellcare Setting Professional Modifier Global Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | Global | $354.81 | $354.81 | $354.81 |
Where North Carolina sits
The same service costs 1.6 times more in Minnesota than in Washington, DC. 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
$51.29
MN $63.10DC $38.90
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.