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 $0.59 Median $0.59 Typical High $0.59 | Facility | None | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.59 Typical High $0.59 | Professional | None | $0.32 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.16 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.06 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.05 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.03 | $0.06 | $0.06 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.32 Median $0.44 Typical High $0.56 | Facility | None | $0.32 | $0.44 | $0.56 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | None | $0.27 | $0.27 | $0.27 |
Cigna Setting Facility Modifier None Typical Low $0.44 Median $0.47 Typical High $0.66 | Facility | None | $0.44 | $0.47 | $0.66 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.65 | Professional | None | $0.31 | $0.31 | $0.65 |
Medcost Setting Facility Modifier None Typical Low $0.37 Median $0.37 Typical High $0.59 | Facility | None | $0.37 | $0.37 | $0.59 |
Medcost Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.34 Typical High $0.50 | Professional | None | $0.32 | $0.34 | $0.50 |
Where North Carolina sits
The same service costs 3.3 times more in Texas than in North Dakota. 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· 9th of 51
$0.42
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.