How much rates vary
Facilitymedian $224 · 10th to 90th $170 to $389Professionalmedian $186 · 10th to 90th $129 to $417
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 Professional Modifier Global Typical Low $123.03 Median $165.96 Typical High $426.58 | Professional | Global | $123.03 | $165.96 | $426.58 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $199.53 Median $537.03 Typical High $2,187.76 | Professional | 25 · Same-day visit | $199.53 | $537.03 | $2,187.76 |
Ambetter Setting Professional Modifier Global Typical Low $151.36 Median $234.42 Typical High $380.19 | Professional | Global | $151.36 | $234.42 | $380.19 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $162.18 Median $239.88 Typical High $389.05 | Professional | 25 · Same-day visit | $162.18 | $239.88 | $389.05 |
BCBS Setting Professional Modifier Global Typical Low $213.80 Median $309.03 Typical High $398.11 | Professional | Global | $213.80 | $309.03 | $398.11 |
Cigna Setting Professional Modifier Global Typical Low $162.18 Median $229.09 Typical High $426.58 | Professional | Global | $162.18 | $229.09 | $426.58 |
Medcost Setting Professional Modifier Global Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | Global | $194.98 | $194.98 | $194.98 |
Medcost Setting Facility Modifier Global Typical Low $169.82 Median $223.87 Typical High $371.54 | Facility | Global | $169.82 | $223.87 | $371.54 |
Medcost Setting Professional Modifier Global Typical Low $165.96 Median $165.96 Typical High $426.58 | Professional | Global | $165.96 | $165.96 | $426.58 |
Oscar Health Setting Professional Modifier Global Typical Low $173.78 Median $295.12 Typical High $407.38 | Professional | Global | $173.78 | $295.12 | $407.38 |
United Setting Professional Modifier Global Typical Low $138.04 Median $181.97 Typical High $380.19 | Professional | Global | $138.04 | $181.97 | $380.19 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $89.13 Median $89.13 Typical High $245.47 | Professional | 25 · Same-day visit | $89.13 | $89.13 | $245.47 |
Wellcare Setting Facility Modifier Global Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | Global | $1,096.48 | $1,096.48 | $1,096.48 |
Wellcare Setting Professional Modifier Global Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | Global | $1,096.48 | $1,096.48 | $1,096.48 |
Where North Carolina sits
The same service costs 2.5 times more in West Virginia 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· 12th of 51
$186
WV $372DE $148
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.