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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $40.74 | Facility | None | $30.90 | $39.81 | $40.74 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None (both parts) | $11.48 | $11.48 | $11.48 |
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 $32.36 | Professional | None (both parts) | $11.22 | $22.91 | $32.36 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $9.12 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $9.12 | $20.89 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $9.33 Median $11.48 Typical High $22.39 | Professional | None (both parts) | $9.33 | $11.48 | $22.39 |
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 $7.94 Median $7.94 Typical High $10.96 | Professional | 90 · Outside lab | $7.94 | $7.94 | $10.96 |
Where North Carolina sits
The same service costs 19.5 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· 41st of 51
$12.02
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.