How much rates vary
Facilitymedian $38 · 10th to 90th $34 to $41Professionalmedian $38 · 10th to 90th $33 to $38
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 $33.11 Median $38.02 Typical High $38.02 | Facility | None | $33.11 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | None | $33.11 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $16.60 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.61 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $4.90 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.31 | $3.80 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | None | $34.67 | $37.15 | $37.15 |
BCBS North Carolina Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
BCBS North Carolina Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $40.74 | Facility | None | $33.88 | $38.02 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Where North Carolina sits
The same service costs 3.1 times more in Montana 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· 6th of 51
$38.02
MT $79.43MS $25.70
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.