How much rates vary
Facilitymedian $7 · 10th to 90th $4 to $8Professionalmedian $4 · 10th to 90th $3 to $11
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 $2.14 Median $7.08 Typical High $12.02 | Facility | None | $2.14 | $7.08 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $7.08 Typical High $8.71 | Professional | None | $3.55 | $7.08 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $3.55 Typical High $3.55 | Professional | 52 · Reduced service | $1.82 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $1.41 Typical High $1.41 | Professional | 53 · Discontinued | $0.72 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $1.07 Typical High $1.07 | Professional | 55 · Aftercare only | $0.55 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.71 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.37 | $0.71 | $0.71 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Facility | None | $16.22 | $16.22 | $19.50 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.39 Median $12.88 Typical High $12.88 | Professional | None | $3.39 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $5.37 Typical High $7.59 | Facility | None | $3.98 | $5.37 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $11.48 | Professional | None | $3.55 | $3.55 | $11.48 |
Medcost Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $7.08 | Facility | None | $4.27 | $4.27 | $7.08 |
Medcost Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.25 | Professional | None | $3.39 | $3.39 | $5.25 |
Where North Carolina sits
The same service costs 4.0 times more in Oklahoma than in Maryland. 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
$4.27
OK $13.49MD $3.39
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.