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 $1.26 Typical High $2.24 | Facility | None | $1.12 | $1.26 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.38 | Professional | None | $1.26 | $1.26 | $1.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.63 Median $0.63 Typical High $0.69 | Professional | 52 · Reduced service | $0.63 | $0.63 | $0.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.25 Typical High $0.28 | Professional | 53 · Discontinued | $0.25 | $0.25 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.21 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.14 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1.45 Median $2.00 Typical High $2.75 | Facility | None | $1.45 | $2.00 | $2.75 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.26 | Professional | None | $0.98 | $0.98 | $1.26 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $2.00 Typical High $3.02 | Facility | None | $1.51 | $2.00 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $2.09 | Professional | None | $1.32 | $1.32 | $2.09 |
Medcost Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.58 | Facility | None | $1.26 | $1.26 | $1.58 |
Medcost Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.78 | Professional | None | $1.32 | $1.32 | $1.78 |
Where North Carolina sits
The same service costs 1.5 times more in Alaska than in Virginia. 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· 44th of 51
$1.32
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.