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 $6.92 Median $7.94 Typical High $14.79 | Facility | None | $6.92 | $7.94 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $12.02 | Professional | None | $5.75 | $6.92 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $4.27 Typical High $7.08 | Professional | None | $3.47 | $4.27 | $7.08 |
BCBS North Carolina Setting Facility Modifier None Typical Low $19.05 Median $19.50 Typical High $27.54 | Facility | None | $19.05 | $19.50 | $27.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.72 | Professional | None | $7.76 | $7.76 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $19.05 Typical High $38.90 | Facility | None | $5.89 | $19.05 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $10.96 | Professional | None | $4.07 | $6.92 | $10.96 |
Medcost Setting Professional Modifier None Typical Low $5.25 Median $10.72 Typical High $14.79 | Professional | None | $5.25 | $10.72 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $5.62 Median $6.92 Typical High $13.18 | Facility | None | $5.62 | $6.92 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $9.55 Typical High $14.13 | Professional | None | $5.62 | $9.55 | $14.13 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.17 Typical High $8.91 | Professional | None | $5.13 | $6.17 | $8.91 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.38 |
Ambetter Setting Professional Modifier FP · Family planning Typical Low $3.31 Median $3.89 Typical High $4.27 | Professional | FP · Family planning | $3.31 | $3.89 | $4.27 |
Where North Carolina sits
The same service costs 15.8 times more in Minnesota 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
$6.92
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.