How much rates vary
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 $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | None | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $16.98 |
BCBS North Carolina Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $363.08 | Facility | None | $181.97 | $269.15 | $363.08 |
BCBS North Carolina Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | None | $154.88 | $154.88 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $371.54 | Facility | None | $186.21 | $251.19 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | None | $165.96 | $165.96 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $194.98 | Facility | None | $165.96 | $165.96 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None | $162.18 | $162.18 | $213.80 |
Where North Carolina sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 45th of 51
$166
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.