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 $1.12 Median $1.20 Typical High $2.24 | Facility | None | $1.12 | $1.20 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.12 Typical High $2.51 | Professional | None | $1.02 | $1.12 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.56 Typical High $0.56 | Professional | 52 · Reduced service | $0.52 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.22 Typical High $0.22 | Professional | 53 · Discontinued | $0.21 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.15 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.11 | $0.11 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $5.37 | Facility | None | $4.47 | $4.47 | $5.37 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.89 Median $1.91 Typical High $1.91 | Professional | None | $0.89 | $1.91 | $1.91 |
Cigna Setting Facility Modifier None Typical Low $1.12 Median $1.51 Typical High $2.14 | Facility | None | $1.12 | $1.51 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $2.14 | Professional | None | $1.00 | $1.00 | $2.14 |
Medcost Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $1.20 | Facility | None | $1.12 | $1.12 | $1.20 |
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 $0.89 Median $0.89 Typical High $1.41 | Professional | None | $0.89 | $0.89 | $1.41 |
Where North Carolina sits
The same service costs 2.5 times more in Texas 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· 14th of 51
$1.12
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.