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 $2.19 Median $2.19 Typical High $3.55 | Facility | None | $2.19 | $2.19 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.63 | Professional | None | $2.19 | $2.19 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.10 Typical High $1.32 | Professional | 52 · Reduced service | $1.10 | $1.10 | $1.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.52 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.62 Median $1.62 Typical High $2.00 | Professional | 54 · Surgery only | $1.62 | $1.62 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.40 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.27 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2.57 Median $3.98 Typical High $5.25 | Facility | None | $2.57 | $3.98 | $5.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.57 | Professional | None | $2.14 | $2.14 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $3.89 Typical High $5.75 | Facility | None | $2.95 | $3.89 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.24 | Professional | None | $2.57 | $2.57 | $3.24 |
Medcost Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $3.09 | Facility | None | $2.19 | $2.19 | $3.09 |
Medcost Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
United Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.24 | Professional | None | $2.45 | $2.45 | $3.24 |
Where North Carolina sits
The same service costs 1.8 times more in Alaska 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· 30th of 51
$2.57
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.