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 $24.55 Median $24.55 Typical High $81.28 | Facility | None | $24.55 | $24.55 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $28.18 | Professional | None | $18.62 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 52 · Reduced service | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.37 |
BCBS North Carolina Setting Facility Modifier None Typical Low $52.48 Median $95.50 Typical High $114.82 | Facility | None | $52.48 | $95.50 | $114.82 |
BCBS North Carolina Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $28.18 | Professional | None | $13.80 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $67.61 Typical High $141.25 | Facility | None | $21.88 | $67.61 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $46.77 | Professional | None | $15.85 | $20.89 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $57.54 Typical High $63.10 | Professional | None | $25.70 | $57.54 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $64.57 | Facility | None | $23.99 | $24.55 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $4.47 Median $43.65 Typical High $57.54 | Professional | None | $4.47 | $43.65 | $57.54 |
Oscar Health Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $42.66 | Professional | None | $12.88 | $21.88 | $42.66 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | 90 · Outside lab | $20.89 | $20.89 | $20.89 |
Where North Carolina sits
The same service costs 3.7 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· 45th of 51
$24.55
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.