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 $6.17 Median $7.41 Typical High $18.20 | Facility | None | $6.17 | $7.41 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $11.75 | Professional | None | $6.17 | $6.17 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $6.31 | Professional | None | $1.95 | $3.31 | $6.31 |
BCBS North Carolina Setting Facility Modifier None Typical Low $17.38 Median $33.11 Typical High $33.11 | Facility | None | $17.38 | $33.11 | $33.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $16.98 Typical High $35.48 | Facility | None | $5.50 | $16.98 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $8.32 Typical High $12.59 | Professional | None | $4.07 | $8.32 | $12.59 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $6.46 Typical High $10.72 | Professional | None | $3.98 | $6.46 | $10.72 |
Medcost Setting Facility Modifier None Typical Low $6.03 Median $6.17 Typical High $16.22 | Facility | None | $6.03 | $6.17 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $10.96 Typical High $15.14 | Professional | None | $5.62 | $10.96 | $15.14 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.37 Typical High $10.72 | Professional | None | $3.24 | $5.37 | $10.72 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.09 Typical High $3.39 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.35 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.35 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.95 Median $3.89 Typical High $6.61 | Professional | QW · Waived lab test | $1.95 | $3.89 | $6.61 |
Where North Carolina sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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· 51st of 51
$6.17
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.