How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
BCBS North Carolina Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $63.10 | Facility | None | $30.90 | $39.81 | $63.10 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $22.91 Typical High $36.31 | Professional | None (both parts) | $11.22 | $22.91 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Facility | None | $38.02 | $38.02 | $38.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.49 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $13.49 | $38.02 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $9.33 Median $11.75 Typical High $23.44 | Professional | None (both parts) | $9.33 | $11.75 | $23.44 |
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 $28.84 Median $28.84 Typical High $102.33 | Professional | 90 · Outside lab | $28.84 | $28.84 | $102.33 |
Where North Carolina sits
The same service costs 12.3 times more in Alaska than in Georgia. 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· 43rd of 51
$13.49
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.