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 $0.51 Median $0.55 Typical High $1.78 | Facility | None | $0.51 | $0.55 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $0.42 Median $0.51 Typical High $1.26 | Professional | None | $0.42 | $0.51 | $1.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.21 Median $0.26 Typical High $0.26 | Professional | 52 · Reduced service | $0.21 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.08 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.06 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.05 | $0.05 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.43 Median $0.68 Typical High $0.68 | Professional | None | $0.43 | $0.68 | $0.68 |
Cigna Setting Facility Modifier None Typical Low $0.45 Median $0.60 Typical High $0.85 | Facility | None | $0.45 | $0.60 | $0.85 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $1.58 | Professional | None | $0.40 | $0.40 | $1.58 |
Medcost Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $0.51 | Facility | None | $0.48 | $0.48 | $0.51 |
Medcost Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
United Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.68 | Professional | None | $0.43 | $0.43 | $0.68 |
Where North Carolina sits
The same service costs 4.0 times more in Texas than in Georgia. 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· 13th of 51
$0.51
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.