How much rates vary
Facilitymedian $34 · 10th to 90th $27 to $63Professionalmedian $29 · 10th to 90th $27 to $35
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 $26.92 Median $26.92 Typical High $38.02 | Facility | None | $26.92 | $26.92 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | None | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $13.49 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 54 · Surgery only | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.69 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.69 | $2.69 | $3.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.89 | Facility | None | $3.24 | $3.24 | $3.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | None | $23.44 | $23.44 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $44.67 Typical High $63.10 | Facility | None | $33.88 | $44.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Facility | None | $26.92 | $26.92 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | None | $28.84 | $28.84 | $37.15 |
Where North Carolina sits
The same service costs 1.9 times more in Alaska than in Oklahoma. 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· 48th of 51
$28.84
AK $53.70OK $27.54
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.