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 $15.85 Median $15.85 Typical High $46.77 | Facility | None | $15.85 | $15.85 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $20.42 | Professional | None | $15.85 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.16 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $63.10 | Facility | None | $33.11 | $43.65 | $63.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $8.91 Median $16.22 Typical High $16.22 | Professional | None | $8.91 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $42.66 Typical High $89.13 | Facility | None | $13.49 | $42.66 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $30.20 | Professional | None | $9.33 | $12.88 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $33.11 Typical High $125.89 | Professional | None | $15.14 | $33.11 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $15.85 Typical High $38.02 | Facility | None | $14.79 | $15.85 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $72.44 | Professional | None | $14.45 | $25.70 | $72.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $24.55 | Professional | None | $8.32 | $12.59 | $24.55 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 90 · Outside lab | $12.59 | $12.59 | $12.59 |
Where North Carolina sits
The same service costs 5.5 times more in Kansas than in Georgia. 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· 41st of 51
$15.85
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.