How much rates vary
Facilitymedian $191 · 10th to 90th $126 to $269Professionalmedian $148 · 10th to 90th $117 to $214
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 $120.23 Median $190.55 Typical High $269.15 | Facility | None | $120.23 | $190.55 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $190.55 | Professional | None | $117.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $18.20 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $19.05 |
BCBS North Carolina Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Facility | None | $295.12 | $295.12 | $354.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $213.80 | Professional | None | $147.91 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $251.19 | Facility | None | $131.83 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $338.84 | Professional | None | $117.49 | $117.49 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Facility | None | $138.04 | $138.04 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $229.09 | Professional | None | $147.91 | $147.91 | $229.09 |
Where North Carolina sits
The same service costs 2.0 times more in Kansas than in Georgia. 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· 11th of 51
$174
KS $234GA $117
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.