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 $9.12 Median $9.12 Typical High $30.20 | Facility | None | $9.12 | $9.12 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $11.48 | Professional | None | $9.12 | $9.12 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.57 Typical High $5.01 | Professional | 52 · Reduced service | $4.57 | $4.57 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.00 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $51.29 | Facility | None | $24.55 | $25.70 | $51.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $7.41 | Professional | None | $5.25 | $5.25 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $25.70 Typical High $52.48 | Facility | None | $8.13 | $25.70 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $17.38 | Professional | None | $5.89 | $7.76 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $6.76 Median $21.38 Typical High $102.33 | Professional | None | $6.76 | $21.38 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $8.91 Median $9.12 Typical High $23.99 | Facility | None | $8.91 | $9.12 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $6.31 Median $16.22 Typical High $20.89 | Professional | None | $6.31 | $16.22 | $20.89 |
Oscar Health Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $15.85 | Professional | None | $4.79 | $8.13 | $15.85 |
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 $6.92 Median $6.92 Typical High $7.94 | Professional | 90 · Outside lab | $6.92 | $6.92 | $7.94 |
Where North Carolina sits
The same service costs 4.8 times more in Kansas than in Nebraska. 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· 45th of 51
$9.12
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.