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 $11.22 Median $13.49 Typical High $31.62 | Facility | None | $11.22 | $13.49 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.98 | Professional | None | $11.22 | $11.22 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $6.17 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.45 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $51.29 | Facility | None | $23.99 | $43.65 | $51.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $9.12 | Professional | None | $6.31 | $6.31 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $30.90 Typical High $64.57 | Facility | None | $10.00 | $30.90 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $21.88 | Professional | None | $7.24 | $9.55 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $3.89 Median $26.30 Typical High $39.81 | Professional | None | $3.89 | $26.30 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $11.22 Typical High $28.84 | Facility | None | $10.96 | $11.22 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $41.69 | Professional | None | $11.22 | $19.95 | $41.69 |
United Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $19.05 | Professional | None | $5.89 | $9.77 | $19.05 |
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 $8.51 Median $9.77 Typical High $30.20 | Professional | 90 · Outside lab | $8.51 | $9.77 | $30.20 |
Where North Carolina sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 48th of 51
$11.22
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.