How much rates vary
Facilitymedian $62 · 10th to 90th $55 to $117Professionalmedian $55 · 10th to 90th $55 to $83
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 $28.84 Median $57.54 Typical High $117.49 | Facility | None | $28.84 | $57.54 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | None | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $8.51 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
BCBS North Carolina Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | None | $54.95 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $117.49 | Facility | None | $61.66 | $83.18 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $109.65 | Professional | None | $54.95 | $54.95 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $66.07 | Facility | None | $57.54 | $57.54 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | None | $54.95 | $54.95 | $85.11 |
Where North Carolina sits
The same service costs 2.7 times more in Oklahoma than in West Virginia. 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· 29th of 51
$57.54
OK $148WV $54.95
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.