How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $9Professionalmedian $2 · 10th to 90th $1 to $3
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 $0.83 Median $1.00 Typical High $10.96 | Facility | None | $0.83 | $1.00 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $2.29 | Professional | None | $0.83 | $0.83 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.42 Median $0.42 Typical High $1.00 | Professional | 52 · Reduced service | $0.42 | $0.42 | $1.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.40 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.30 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $12.02 | Facility | None | $10.00 | $10.00 | $12.02 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.14 | Professional | None | $1.55 | $1.55 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $2.88 Typical High $4.07 | Facility | None | $2.14 | $2.88 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $5.01 | Professional | None | $1.91 | $1.91 | $5.01 |
Medcost Setting Facility Modifier None Typical Low $0.83 Median $0.83 Typical High $2.29 | Facility | None | $0.83 | $0.83 | $2.29 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.39 | Professional | None | $2.14 | $2.14 | $3.39 |
Where North Carolina sits
The same service costs 2.5 times more in Texas than in South Carolina. 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· 17th of 51
$2.14
TX $4.68SC $1.91
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.