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 $10.23 Median $10.47 Typical High $32.36 | Facility | None | $10.23 | $10.47 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $14.45 | Professional | None | $10.23 | $10.47 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.13 Typical High $5.62 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.24 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.24 |
BCBS North Carolina Setting Facility Modifier None Typical Low $28.84 Median $54.95 Typical High $54.95 | Facility | None | $28.84 | $54.95 | $54.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $8.51 | Professional | None | $5.89 | $5.89 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $28.18 Typical High $58.88 | Facility | None | $9.12 | $28.18 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $19.50 | Professional | None | $6.76 | $8.71 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $23.99 Typical High $31.62 | Professional | None | $10.72 | $23.99 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $10.47 Typical High $26.30 | Facility | None | $10.00 | $10.47 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $10.47 Median $18.20 Typical High $39.81 | Professional | None | $10.47 | $18.20 | $39.81 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $17.38 | Professional | None | $5.50 | $8.91 | $17.38 |
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 $3.55 Median $8.71 Typical High $18.20 | Professional | 90 · Outside lab | $3.55 | $8.71 | $18.20 |
Where North Carolina sits
The same service costs 4.2 times more in Kansas than in Maryland. 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
$10.47
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.