How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $2
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 $0.56 Median $0.98 Typical High $1.45 | Facility | None | $0.56 | $0.98 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.95 | Professional | None | $0.98 | $0.98 | $1.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.49 Median $0.49 Typical High $0.72 | Professional | 52 · Reduced service | $0.49 | $0.49 | $0.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.28 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.21 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.14 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.57 | Facility | None | $2.14 | $2.14 | $2.57 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $1.15 | Professional | None | $0.49 | $0.49 | $1.15 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $2.04 Typical High $2.95 | Facility | None | $1.55 | $2.04 | $2.95 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $3.39 | Professional | None | $1.38 | $1.38 | $3.39 |
Medcost Setting Facility Modifier None Typical Low $0.98 Median $0.98 Typical High $1.66 | Facility | None | $0.98 | $0.98 | $1.66 |
Medcost Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | None | $0.34 | $0.34 | $0.34 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.82 | Professional | None | $1.15 | $1.15 | $1.82 |
Where North Carolina sits
The same service costs 5.9 times more in Vermont 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· 49th of 51
$1.15
VT $5.89OK $1.00
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.