How much rates vary
Facilitymedian $129 · 10th to 90th $91 to $245Professionalmedian $105 · 10th to 90th $91 to $126
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 $91.20 Median $91.20 Typical High $138.04 | Facility | None | $91.20 | $91.20 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | None | $91.20 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 54 · Surgery only | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $11.22 |
BCBS North Carolina Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Facility | None | $245.47 | $245.47 | $288.40 |
BCBS North Carolina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | None | $85.11 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $165.96 Typical High $234.42 | Facility | None | $123.03 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None | $109.65 | $109.65 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $131.83 | Facility | None | $91.20 | $91.20 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | None | $104.71 | $104.71 | $134.90 |
Where North Carolina sits
The same service costs 5.0 times more in Alabama than in Maryland. 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· 50th of 51
$105
AL $525MD $105
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.