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 $30.90 Median $30.90 Typical High $64.57 | Facility | None | $30.90 | $30.90 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $30.90 | Professional | None | $21.88 | $30.90 | $30.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $123.03 | Facility | None | $85.11 | $87.10 | $123.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.92 | Professional | None | $17.38 | $17.38 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $83.18 Typical High $173.78 | Facility | None | $26.30 | $83.18 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $58.88 | Professional | None | $17.78 | $26.92 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $30.90 Typical High $38.90 | Facility | None | $25.12 | $30.90 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $52.48 | Professional | None | $25.12 | $38.90 | $52.48 |
United Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $38.90 | Professional | None | $16.22 | $19.50 | $38.90 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | 90 · Outside lab | $22.91 | $22.91 | $22.91 |
Where North Carolina sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$28.18
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.