How much rates vary
Facilitymedian $5 · 10th to 90th $3 to $7Professionalmedian $3 · 10th to 90th $3 to $4
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 $3.24 Median $3.24 Typical High $3.80 | Facility | None | $3.24 | $3.24 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | None | $3.24 | $3.24 | $3.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.66 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.40 Median $2.40 Typical High $2.51 | Professional | 54 · Surgery only | $2.40 | $2.40 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.48 Typical High $0.50 | Professional | 55 · Aftercare only | $0.48 | $0.48 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.32 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.32 | $0.32 | $0.33 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4.07 Median $6.31 Typical High $7.24 | Facility | None | $4.07 | $6.31 | $7.24 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.39 | Professional | None | $2.95 | $2.95 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $4.90 Typical High $7.24 | Facility | None | $3.63 | $4.90 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.55 | Professional | None | $3.24 | $3.24 | $3.55 |
Medcost Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.89 | Facility | None | $3.24 | $3.24 | $3.89 |
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 $3.24 Median $3.24 Typical High $4.17 | Professional | None | $3.24 | $3.24 | $4.17 |
Where North Carolina sits
The same service costs 1.7 times more in Arizona than in North Dakota. 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· 35th of 51
$3.24
AZ $5.50ND $3.24
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.