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 $204.17 Median $204.17 Typical High $257.04 | Facility | None | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | None | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | 52 · Reduced service | $102.33 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $21.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $478.63 | Facility | None | $275.42 | $416.87 | $478.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $457.09 | Facility | None | $239.88 | $323.59 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | None | $213.80 | $213.80 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $257.04 | Facility | None | $204.17 | $204.17 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | None | $213.80 | $213.80 | $275.42 |
Where North Carolina sits
The same service costs 7.6 times more in Alabama than in New Mexico. 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· 21st of 51
$214
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.