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 $51.29 Median $102.33 Typical High $245.47 | Facility | Global | $51.29 | $102.33 | $245.47 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $74.13 Median $169.82 Typical High $269.15 | Facility | 25 · Same-day visit | $74.13 | $169.82 | $269.15 |
Aetna Setting Professional Modifier Global Typical Low $46.77 Median $85.11 Typical High $181.97 | Professional | Global | $46.77 | $85.11 | $181.97 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $53.70 Median $87.10 Typical High $194.98 | Professional | 25 · Same-day visit | $53.70 | $87.10 | $194.98 |
Ambetter Setting Professional Modifier Global Typical Low $52.48 Median $85.11 Typical High $128.82 | Professional | Global | $52.48 | $85.11 | $128.82 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | 25 · Same-day visit | $69.18 | $91.20 | $134.90 |
BCBS Setting Professional Modifier Global Typical Low $61.66 Median $95.50 Typical High $162.18 | Professional | Global | $61.66 | $95.50 | $162.18 |
Cigna Setting Facility Modifier Global Typical Low $81.28 Median $120.23 Typical High $151.36 | Facility | Global | $81.28 | $120.23 | $151.36 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 22 · Increased work | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 62 · Two surgeons | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | AS · PA/NP assist | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier Global Typical Low $50.12 Median $83.18 Typical High $147.91 | Professional | Global | $50.12 | $83.18 | $147.91 |
Medcost Setting Professional Modifier Global Typical Low $38.90 Median $75.86 Typical High $169.82 | Professional | Global | $38.90 | $75.86 | $169.82 |
Medcost Setting Facility Modifier Global Typical Low $51.29 Median $81.28 Typical High $125.89 | Facility | Global | $51.29 | $81.28 | $125.89 |
Medcost Setting Professional Modifier Global Typical Low $39.81 Median $39.81 Typical High $186.21 | Professional | Global | $39.81 | $39.81 | $186.21 |
Oscar Health Setting Professional Modifier Global Typical Low $60.26 Median $107.15 Typical High $199.53 | Professional | Global | $60.26 | $107.15 | $199.53 |
United Setting Facility Modifier Global Typical Low $81.28 Median $125.89 Typical High $147.91 | Facility | Global | $81.28 | $125.89 | $147.91 |
United Setting Professional Modifier Global Typical Low $44.67 Median $70.79 Typical High $125.89 | Professional | Global | $44.67 | $70.79 | $125.89 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $85.11 Median $91.20 Typical High $141.25 | Professional | 25 · Same-day visit | $85.11 | $91.20 | $141.25 |
Wellcare Setting Facility Modifier Global Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | Global | $630.96 | $630.96 | $630.96 |
Wellcare Setting Facility Modifier 62 · Two surgeons Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | 62 · Two surgeons | $257.04 | $257.04 | $257.04 |
Wellcare Setting Facility Modifier AS · PA/NP assist Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | AS · PA/NP assist | $41.69 | $41.69 | $41.69 |
Wellcare Setting Professional Modifier Global Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | Global | $562.34 | $562.34 | $562.34 |
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· 19th of 51
$85.11
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.