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 $0.72 Median $0.76 Typical High $1.05 | Facility | None | $0.72 | $0.76 | $1.05 |
Aetna Setting Professional Modifier None Typical Low $0.65 Median $0.76 Typical High $0.76 | Professional | None | $0.65 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.32 Median $0.38 Typical High $0.38 | Professional | 52 · Reduced service | $0.32 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.13 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.13 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.10 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.06 | $0.08 | $0.08 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $1.95 | Facility | None | $1.62 | $1.62 | $1.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.68 Median $1.23 Typical High $1.23 | Professional | None | $0.68 | $1.23 | $1.23 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $0.95 Typical High $1.35 | Facility | None | $0.72 | $0.95 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $0.62 Median $0.65 Typical High $0.65 | Professional | None | $0.62 | $0.65 | $0.65 |
Medcost Setting Facility Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Facility | None | $0.76 | $0.76 | $0.76 |
Medcost Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.87 | Professional | None | $0.68 | $0.68 | $0.87 |
Where North Carolina sits
The same service costs 2.6 times more in Texas than in Wyoming. 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
$0.72
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.