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 $26.30 | Facility | None | $22.39 | $22.39 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $25.70 | Professional | None | $19.50 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.47 |
BCBS North Carolina Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $89.13 | Facility | None | $58.88 | $61.66 | $89.13 |
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 $19.05 Median $60.26 Typical High $125.89 | Facility | None | $19.05 | $60.26 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $36.31 | Professional | None | $12.88 | $14.13 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $28.18 | Facility | None | $18.20 | $22.39 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $33.11 | Professional | None | $18.20 | $28.18 | $33.11 |
United Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $28.18 | Professional | None | $11.75 | $14.13 | $28.18 |
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 $15.14 Median $15.14 Typical High $17.38 | Professional | 90 · Outside lab | $15.14 | $15.14 | $17.38 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska 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· 33rd 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.