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 $26.92 Median $38.02 Typical High $58.88 | Facility | Global | $26.92 | $38.02 | $58.88 |
Aetna Setting Professional Modifier Global Typical Low $25.12 Median $37.15 Typical High $67.61 | Professional | Global | $25.12 | $37.15 | $67.61 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $30.20 Median $50.12 Typical High $79.43 | Professional | 25 · Same-day visit | $30.20 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $15.49 Typical High $21.38 | Professional | 52 · Reduced service | $11.75 | $15.49 | $21.38 |
Ambetter Setting Professional Modifier Global Typical Low $32.36 Median $38.02 Typical High $70.79 | Professional | Global | $32.36 | $38.02 | $70.79 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $33.11 Median $38.02 Typical High $41.69 | Professional | 25 · Same-day visit | $33.11 | $38.02 | $41.69 |
BCBS Setting Professional Modifier Global Typical Low $37.15 Median $56.23 Typical High $91.20 | Professional | Global | $37.15 | $56.23 | $91.20 |
Cigna Setting Facility Modifier Global Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | Global | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | Global | $37.15 | $37.15 | $39.81 |
Medcost Setting Professional Modifier Global Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | Global | $47.86 | $58.88 | $58.88 |
Medcost Setting Facility Modifier Global Typical Low $25.70 Median $38.02 Typical High $63.10 | Facility | Global | $25.70 | $38.02 | $63.10 |
Medcost Setting Professional Modifier Global Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | Global | $33.11 | $33.11 | $102.33 |
Oscar Health Setting Professional Modifier Global Typical Low $26.92 Median $46.77 Typical High $83.18 | Professional | Global | $26.92 | $46.77 | $83.18 |
United Setting Facility Modifier Global Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | Global | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier Global Typical Low $25.12 Median $37.15 Typical High $66.07 | Professional | Global | $25.12 | $37.15 | $66.07 |
Wellcare Setting Facility Modifier Global Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | Global | $173.78 | $173.78 | $173.78 |
Wellcare Setting Professional Modifier Global Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | Global | $245.47 | $245.47 | $323.59 |
Where North Carolina sits
The same service costs 1.9 times more in Minnesota than in Mississippi. 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· 4th of 51
$46.77
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.