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 $22.39 Median $22.39 Typical High $72.44 | Facility | None | $22.39 | $22.39 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $33.11 | Professional | None | $22.39 | $22.39 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $12.02 | Professional | 52 · Reduced service | $11.22 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.79 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.79 |
BCBS North Carolina Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $120.23 | Facility | None | $61.66 | $120.23 | $120.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $18.20 | Professional | None | $12.59 | $12.59 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $60.26 Typical High $125.89 | Facility | None | $19.50 | $60.26 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $45.71 | Professional | None | $14.45 | $19.05 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $63.10 | Professional | None | $22.91 | $51.29 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $22.39 Typical High $58.88 | Facility | None | $21.88 | $22.39 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $39.81 Typical High $51.29 | Professional | None | $22.39 | $39.81 | $51.29 |
Oscar Health Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $38.02 | Professional | None | $11.75 | $19.50 | $38.02 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 90 · Outside lab | $60.26 | $60.26 | $60.26 |
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· 46th of 51
$22.39
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.