How much rates vary
Facilitymedian $13 · 10th to 90th $9 to $81Professionalmedian $8 · 10th to 90th $8 to $81
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 $81.28 Median $81.28 Typical High $83.18 | Facility | None | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $81.28 Typical High $81.28 | Professional | None | $8.71 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $4.37 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $1.74 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $1.29 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $0.87 | $7.94 | $7.94 |
BCBS North Carolina Setting Facility Modifier None Typical Low $8.71 Median $12.88 Typical High $17.38 | Facility | None | $8.71 | $12.88 | $17.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $8.71 | Professional | None | $3.63 | $3.63 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $17.78 | Facility | None | $9.33 | $12.59 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $79.43 | Professional | None | $8.32 | $8.32 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $81.28 | Facility | None | $10.00 | $10.00 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $12.88 | Professional | None | $8.32 | $8.32 | $12.88 |
Where North Carolina sits
The same service costs 7.4 times more in Wyoming than in New Jersey. 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· 9th of 51
$10.72
WY $61.66NJ $8.32
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.