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 $17.38 Median $17.38 Typical High $54.95 | Facility | None | $17.38 | $17.38 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $26.30 | Professional | None | $14.45 | $17.38 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.80 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $93.33 | Facility | None | $46.77 | $93.33 | $93.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $16.60 | Professional | None | $9.77 | $9.77 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $47.86 Typical High $100.00 | Facility | None | $15.49 | $47.86 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $33.88 | Professional | None | $11.48 | $14.79 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $38.90 Typical High $40.74 | Professional | None | $7.08 | $38.90 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $17.38 Typical High $45.71 | Facility | None | $15.85 | $17.38 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $53.70 | Professional | None | $17.78 | $31.62 | $53.70 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $30.20 | Professional | None | $9.12 | $15.49 | $30.20 |
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 $13.18 Median $15.14 Typical High $85.11 | Professional | 90 · Outside lab | $13.18 | $15.14 | $85.11 |
Where North Carolina sits
The same service costs 3.6 times more in Alaska than in South Carolina. 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· 44th of 51
$17.38
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.