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 $1.66 Median $1.66 Typical High $2.51 | Facility | None | $1.66 | $1.66 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $2.14 | Professional | None | $1.66 | $1.66 | $2.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.83 Median $0.83 Typical High $1.07 | Professional | 52 · Reduced service | $0.83 | $0.83 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.33 Typical High $0.43 | Professional | 53 · Discontinued | $0.33 | $0.33 | $0.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.26 Median $1.26 Typical High $1.62 | Professional | 54 · Surgery only | $1.26 | $1.26 | $1.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.32 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.21 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.95 | Professional | None | $1.38 | $1.38 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $3.09 Typical High $4.37 | Facility | None | $2.34 | $3.09 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.24 | Professional | None | $2.09 | $2.09 | $2.24 |
Medcost Setting Facility Modifier None Typical Low $1.66 Median $1.66 Typical High $2.45 | Facility | None | $1.66 | $1.66 | $2.45 |
Medcost Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
United Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.51 | Professional | None | $1.95 | $1.95 | $2.51 |
Where North Carolina sits
The same service costs 1.6 times more in Alaska than in Iowa. 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· 47th of 51
$1.95
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.