How much rates vary
Facilitymedian $48 · 10th to 90th $41 to $95Professionalmedian $43 · 10th to 90th $41 to $50
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $24.55 Median $40.74 Typical High $40.74 | Facility | None | $24.55 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | None | $39.81 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $19.95 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.94 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $6.03 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.98 | $4.07 | $4.07 |
BCBS North Carolina Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Facility | None | $112.20 | $112.20 | $134.90 |
BCBS North Carolina Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $89.13 | Facility | None | $47.86 | $53.70 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | None | $42.66 | $42.66 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | None | $50.12 | $50.12 | $64.57 |
Where North Carolina sits
The same service costs 15.1 times more in Alabama than in Montana. 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· 34th of 51
$42.66
AL $229MT $15.14
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.