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 $489.78 Median $489.78 Typical High $630.96 | Facility | None | $489.78 | $489.78 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | None | $489.78 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | 52 · Reduced service | $245.47 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | 54 · Surgery only | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $53.70 |
BCBS North Carolina Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | None | $489.78 | $489.78 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,096.48 | Facility | None | $588.84 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | None | $512.86 | $512.86 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $616.60 | Facility | None | $489.78 | $489.78 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | None | $512.86 | $512.86 | $660.69 |
Where North Carolina sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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· 31st of 51
$513
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.