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 $6.46 Median $6.92 Typical High $16.60 | Facility | None | $6.46 | $6.92 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.46 Typical High $7.76 | Professional | None | $6.17 | $6.46 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $30.20 | Facility | None | $18.20 | $30.20 | $30.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $5.25 | Professional | None | $3.63 | $3.63 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $17.78 Typical High $37.15 | Facility | None | $5.50 | $17.78 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $11.75 | Professional | None | $3.72 | $4.68 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $5.75 Median $12.88 Typical High $38.90 | Professional | None | $5.75 | $12.88 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $6.46 Typical High $14.79 | Facility | None | $5.75 | $6.46 | $14.79 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $10.00 Typical High $14.45 | Professional | None | $5.62 | $10.00 | $14.45 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $9.55 | Professional | None | $3.39 | $4.90 | $9.55 |
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 59 · Distinct service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 59 · Distinct service | $5.01 | $5.01 | $5.01 |
Where North Carolina sits
The same service costs 8.3 times more in Kansas than in New Jersey. 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
$6.46
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.