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 $162.18 Median $162.18 Typical High $204.17 | Facility | None | $162.18 | $162.18 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | None | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.22 |
BCBS North Carolina Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $346.74 | Facility | None | $190.55 | $302.00 | $346.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $346.74 | Facility | None | $186.21 | $208.93 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $173.78 | Facility | None | $162.18 | $162.18 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None | $158.49 | $158.49 | $208.93 |
Where North Carolina sits
The same service costs 1.7 times more in Arizona than in Texas. 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· 23rd of 51
$162
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.