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 $20.42 Median $20.42 Typical High $64.57 | Facility | None | $20.42 | $20.42 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | None | $20.42 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $10.72 | Professional | 52 · Reduced service | $10.23 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.37 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.37 |
BCBS North Carolina Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $107.15 | Facility | None | $56.23 | $107.15 | $107.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $11.48 Median $15.85 Typical High $16.60 | Professional | None | $11.48 | $15.85 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $56.23 Typical High $117.49 | Facility | None | $17.38 | $56.23 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $38.90 | Professional | None | $12.88 | $16.98 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $46.77 | Professional | None | $20.89 | $42.66 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $20.42 Typical High $52.48 | Facility | None | $19.95 | $20.42 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $53.70 | Professional | None | $19.95 | $35.48 | $53.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $33.88 | Professional | None | $10.72 | $17.38 | $33.88 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | 90 · Outside lab | $17.38 | $17.38 | $17.38 |
Where North Carolina sits
The same service costs 3.1 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· 43rd of 51
$20.42
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.