How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 None Typical Low $39.81 Median $45.71 Typical High $45.71 | Facility | None | $39.81 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | None | $39.81 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $19.95 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.94 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $5.89 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.98 | $4.57 | $4.57 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $54.95 | Professional | None | $7.59 | $7.59 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $48.98 | Facility | None | $40.74 | $40.74 | $48.98 |
Where North Carolina sits
The same service costs 204.2 times more in Montana than in Kansas. 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· 6th of 51
$44.67
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.