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 $10.72 Median $10.72 Typical High $34.67 | Facility | None | $10.72 | $10.72 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | None | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $5.75 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.29 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $57.54 | Facility | None | $29.51 | $57.54 | $57.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $6.03 Median $11.48 Typical High $11.48 | Professional | None | $6.03 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $28.84 Typical High $60.26 | Facility | None | $9.33 | $28.84 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $19.95 | Professional | None | $6.92 | $8.91 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $8.32 Median $22.91 Typical High $25.70 | Professional | None | $8.32 | $22.91 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $10.23 Median $10.72 Typical High $27.54 | Facility | None | $10.23 | $10.72 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $19.05 Typical High $19.95 | Professional | None | $10.72 | $19.05 | $19.95 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $18.62 | Professional | None | $5.62 | $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 $9.12 Median $9.12 Typical High $9.12 | Professional | 90 · Outside lab | $9.12 | $9.12 | $9.12 |
Where North Carolina sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 47th of 51
$10.72
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.