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 $5.89 Median $5.89 Typical High $16.98 | Facility | None | $5.89 | $5.89 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $8.13 | Professional | None | $5.89 | $5.89 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $2.95 Typical High $3.16 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.26 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.22 Median $31.62 Typical High $31.62 | Facility | None | $16.22 | $31.62 | $31.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.31 Median $6.61 Typical High $8.51 | Professional | None | $3.31 | $6.61 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $16.22 Typical High $33.11 | Facility | None | $5.13 | $16.22 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $11.48 | Professional | None | $3.72 | $5.01 | $11.48 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $13.49 Typical High $30.20 | Professional | None | $6.03 | $13.49 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $5.25 Median $5.89 Typical High $15.49 | Facility | None | $5.25 | $5.89 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $5.89 Median $10.47 Typical High $14.13 | Professional | None | $5.89 | $10.47 | $14.13 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $10.00 | Professional | None | $3.09 | $5.13 | $10.00 |
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 $4.37 Median $4.37 Typical High $4.37 | Professional | 90 · Outside lab | $4.37 | $4.37 | $4.37 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in Indiana. 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· 43rd of 51
$5.89
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.