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 $13.80 Median $13.80 Typical High $43.65 | Facility | None | $13.80 | $13.80 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | None | $13.80 | $13.80 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $7.41 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.95 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $28.84 Median $38.02 Typical High $75.86 | Facility | None | $28.84 | $38.02 | $75.86 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7.76 Median $14.13 Typical High $14.13 | Professional | None | $7.76 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $37.15 Typical High $77.62 | Facility | None | $12.02 | $37.15 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $26.30 | Professional | None | $8.91 | $11.75 | $26.30 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $31.62 Typical High $51.29 | Professional | None | $14.13 | $31.62 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $13.80 Typical High $36.31 | Facility | None | $13.49 | $13.80 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $48.98 | Professional | None | $13.80 | $24.55 | $48.98 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $23.44 | Professional | None | $7.24 | $12.02 | $23.44 |
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 GY · Excluded by law Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | GY · Excluded by law | $12.02 | $12.02 | $12.02 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska 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· 46th of 51
$13.80
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.