How much rates vary
Facilitymedian $45 · 10th to 90th $34 to $65Professionalmedian $34 · 10th to 90th $31 to $51
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 $30.20 Median $33.88 Typical High $95.50 | Facility | None | $30.20 | $33.88 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $63.10 | Professional | None | $31.62 | $33.88 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $15.85 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.31 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $4.79 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.16 | $3.39 | $3.39 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $60.26 | Facility | None | $33.88 | $52.48 | $60.26 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | None | $28.84 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $69.18 | Facility | None | $34.67 | $46.77 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $60.26 | Professional | None | $30.90 | $30.90 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None | $36.31 | $36.31 | $43.65 |
Where North Carolina sits
The same service costs 1.9 times more in Texas than in Tennessee. 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· 10th of 51
$36.31
TX $57.54TN $30.90
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.