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 $7.59 Median $7.59 Typical High $21.38 | Facility | None | $7.59 | $7.59 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $7.59 | Professional | None | $5.50 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $36.31 | Facility | None | $16.22 | $25.70 | $36.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $6.17 | Professional | None | $4.27 | $4.27 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $21.38 Typical High $43.65 | Facility | None | $6.46 | $21.38 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $14.13 | Professional | None | $4.37 | $5.62 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $15.14 Typical High $18.20 | Professional | None | $6.76 | $15.14 | $18.20 |
Medcost Setting Facility Modifier None Typical Low $6.76 Median $7.59 Typical High $16.98 | Facility | None | $6.76 | $7.59 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $6.61 Median $11.75 Typical High $16.98 | Professional | None | $6.61 | $11.75 | $16.98 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.75 Typical High $11.22 | Professional | None | $3.98 | $5.75 | $11.22 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 90 · Outside lab | $9.33 | $9.33 | $9.33 |
Where North Carolina sits
The same service costs 3.3 times more in Kansas 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· 40th of 51
$7.59
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.