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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $263.03 | Professional | None | $204.17 | $208.93 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $371.54 | Professional | None | $316.23 | $323.59 | $371.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $831.76 | Facility | None | $575.44 | $588.84 | $831.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $691.83 | Professional | None | $223.87 | $288.40 | $691.83 |
BCBS North Carolina Setting Professional Modifier QW · Waived lab test Typical Low $245.47 Median $288.40 Typical High $331.13 | Professional | QW · Waived lab test | $245.47 | $288.40 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $1,202.26 | Facility | None | $218.78 | $691.83 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $416.87 | Professional | None | $123.03 | $194.98 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $316.23 | Facility | None | $208.93 | $208.93 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $457.09 | Professional | None | $263.03 | $263.03 | $457.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $269.15 | Professional | None | $109.65 | $158.49 | $269.15 |
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 $102.33 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $41.69 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $131.83 Typical High $338.84 | Professional | 51 · Multiple procedures | $131.83 | $131.83 | $338.84 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 25th of 51
$263
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.