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 $263.03 Median $263.03 Typical High $389.05 | Facility | None | $263.03 | $263.03 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $331.13 | Professional | None | $263.03 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | 52 · Reduced service | $131.83 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 53 · Discontinued | $52.48 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $33.11 |
BCBS North Carolina Setting Facility Modifier None Typical Low $389.05 Median $549.54 Typical High $645.65 | Facility | None | $389.05 | $549.54 | $645.65 |
BCBS North Carolina Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | None | $234.42 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $478.63 Typical High $724.44 | Facility | None | $363.08 | $478.63 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | None | $316.23 | $316.23 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | None | $309.03 | $309.03 | $407.38 |
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· 32nd of 51
$316
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.