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 $3.16 Median $3.72 Typical High $9.12 | Facility | None | $3.16 | $3.72 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $5.50 | Professional | None | $3.16 | $3.16 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $1.66 Median $1.95 Typical High $5.50 | Professional | None | $1.66 | $1.95 | $5.50 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.66 Median $1.95 Typical High $30.20 | Professional | QW · Waived lab test | $1.66 | $1.95 | $30.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6.61 Median $16.98 Typical High $16.98 | Facility | None | $6.61 | $16.98 | $16.98 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $8.51 Typical High $17.78 | Facility | None | $2.75 | $8.51 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $4.27 Typical High $6.46 | Professional | None | $2.00 | $4.27 | $6.46 |
Medcost Setting Professional Modifier None Typical Low $3.24 Median $5.89 Typical High $7.24 | Professional | None | $3.24 | $5.89 | $7.24 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $3.16 Typical High $8.13 | Facility | None | $3.09 | $3.16 | $8.13 |
Medcost Setting Professional Modifier None Typical Low $3.16 Median $5.62 Typical High $7.94 | Professional | None | $3.16 | $5.62 | $7.94 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $5.37 | Professional | None | $2.34 | $3.80 | $5.37 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.58 Median $1.58 Typical High $1.70 | Professional | 52 · Reduced service | $1.58 | $1.58 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.63 Typical High $0.68 | Professional | 53 · Discontinued | $0.63 | $0.63 | $0.68 |
Where North Carolina sits
The same service costs 12.6 times more in Vermont than in Washington, DC. 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· 47th of 51
$3.72
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.