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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $14.79 | Professional | None | $12.59 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.95 | $2.95 | $2.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $58.88 | Facility | None | $33.11 | $41.69 | $58.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.18 | Professional | None | $8.32 | $8.32 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $40.74 Typical High $85.11 | Facility | None | $12.59 | $40.74 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $23.99 | Professional | None | $8.51 | $9.33 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $14.79 Typical High $18.62 | Facility | None | $12.02 | $14.79 | $18.62 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $18.62 | Professional | None | $12.02 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $18.62 | Professional | None | $7.76 | $9.33 | $18.62 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $11.22 Median $11.22 Typical High $186.21 | Professional | 90 · Outside lab | $11.22 | $11.22 | $186.21 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 46th of 51
$13.18
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.