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 $79.43 Median $79.43 Typical High $407.38 | Facility | None | $79.43 | $79.43 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | None | $79.43 | $79.43 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $66.07 | Professional | 52 · Reduced service | $39.81 | $39.81 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $26.30 | Professional | 53 · Discontinued | $15.85 | $15.85 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $19.95 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $13.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $239.88 | Facility | None | $147.91 | $190.55 | $239.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $295.12 | Facility | None | $186.21 | $213.80 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $389.05 | Professional | None | $131.83 | $131.83 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $158.49 | Facility | None | $79.43 | $79.43 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Professional | None | $120.23 | $125.89 | $165.96 |
Where North Carolina sits
The same service costs 8.7 times more in Texas than in Kansas. 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· 24th of 51
$132
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.