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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $24.55 | Professional | None | $17.78 | $17.78 | $24.55 |
BCBS North Carolina Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $70.79 | Facility | None | $50.12 | $70.79 | $70.79 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | None | $14.45 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $48.98 Typical High $102.33 | Facility | None | $15.49 | $48.98 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $18.62 Typical High $30.90 | Professional | None | $10.47 | $18.62 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $23.44 | Facility | None | $13.49 | $17.78 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $28.18 | Professional | None | $5.75 | $14.45 | $28.18 |
United Setting Professional Modifier None Typical Low $4.07 Median $14.45 Typical High $22.39 | Professional | None | $4.07 | $14.45 | $22.39 |
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 QW · Waived lab test Typical Low $11.22 Median $11.22 Typical High $22.39 | Professional | QW · Waived lab test | $11.22 | $11.22 | $22.39 |
Where North Carolina sits
The same service costs 5.4 times more in Alaska 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· 43rd of 51
$17.78
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.