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 $4.37 Median $4.37 Typical High $14.45 | Facility | None | $4.37 | $4.37 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $6.17 | Professional | None | $4.37 | $4.37 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.19 Typical High $2.40 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.95 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $12.30 Median $23.44 Typical High $23.44 | Facility | None | $12.30 | $23.44 | $23.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $5.13 | Professional | None | $2.45 | $5.01 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $12.02 Typical High $25.12 | Facility | None | $3.89 | $12.02 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $8.32 | Professional | None | $2.82 | $3.72 | $8.32 |
Medcost Setting Professional Modifier None Typical Low $4.57 Median $10.23 Typical High $81.28 | Professional | None | $4.57 | $10.23 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $4.27 Median $4.37 Typical High $11.48 | Facility | None | $4.27 | $4.37 | $11.48 |
Medcost Setting Professional Modifier None Typical Low $4.37 Median $7.94 Typical High $10.00 | Professional | None | $4.37 | $7.94 | $10.00 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $7.59 | Professional | None | $2.29 | $3.80 | $7.59 |
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 $3.31 Median $3.31 Typical High $3.80 | Professional | 90 · Outside lab | $3.31 | $3.31 | $3.80 |
Where North Carolina sits
The same service costs 4.1 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· 46th of 51
$4.37
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.