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 $4.47 Median $5.01 Typical High $12.02 | Facility | None | $4.47 | $5.01 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $7.41 | Professional | None | $4.17 | $5.01 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $10.47 Median $12.59 Typical High $19.95 | Facility | None | $10.47 | $12.59 | $19.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $13.49 Typical High $28.18 | Facility | None | $4.27 | $13.49 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $7.76 | Professional | None | $2.82 | $4.79 | $7.76 |
Medcost Setting Professional Modifier None Typical Low $2.51 Median $8.51 Typical High $19.95 | Professional | None | $2.51 | $8.51 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $4.07 Median $5.01 Typical High $7.41 | Facility | None | $4.07 | $5.01 | $7.41 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $4.07 Typical High $15.14 | Professional | None | $3.98 | $4.07 | $15.14 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.72 Typical High $6.17 | Professional | None | $2.63 | $3.72 | $6.17 |
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 QW · Waived lab test Typical Low $2.88 Median $2.88 Typical High $3.89 | Professional | QW · Waived lab test | $2.88 | $2.88 | $3.89 |
Where North Carolina sits
The same service costs 3.5 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· 44th of 51
$5.01
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.