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 $0.33 Median $0.33 Typical High $0.83 | Facility | None | $0.33 | $0.33 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.44 | Professional | None | $0.33 | $0.33 | $0.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 52 · Reduced service | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.25 Median $0.36 Typical High $0.45 | Facility | None | $0.25 | $0.36 | $0.45 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | None | $0.24 | $0.24 | $0.24 |
Cigna Setting Facility Modifier None Typical Low $0.45 Median $0.48 Typical High $0.68 | Facility | None | $0.45 | $0.48 | $0.68 |
Cigna Setting Professional Modifier None Typical Low $0.32 Median $0.32 Typical High $0.87 | Professional | None | $0.32 | $0.32 | $0.87 |
Medcost Setting Facility Modifier None Typical Low $0.33 Median $0.33 Typical High $0.38 | Facility | None | $0.33 | $0.33 | $0.38 |
Medcost Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.30 Typical High $0.43 | Professional | None | $0.28 | $0.30 | $0.43 |
Where North Carolina sits
The same service costs 2.8 times more in Texas than in Rhode Island. 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· 20th of 51
$0.33
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.