How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.78 Median $0.78 Typical High $0.78 | Facility | None | $0.78 | $0.78 | $0.78 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | None | $0.76 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 52 · Reduced service | $0.38 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.15 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Cigna Setting Facility Modifier None Typical Low $0.89 Median $1.02 Typical High $1.70 | Facility | None | $0.89 | $1.02 | $1.70 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Medcost Setting Facility Modifier None Typical Low $0.78 Median $0.78 Typical High $0.83 | Facility | None | $0.78 | $0.78 | $0.83 |
Medcost Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
United Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $1.05 | Professional | None | $0.79 | $0.79 | $1.05 |
Where North Carolina sits
The same service costs 14.5 times more in Kansas 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· 12th of 51
$0.79
KS $7.76MT $0.54
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.