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 $14.45 Median $14.45 Typical High $46.77 | Facility | None | $14.45 | $14.45 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.78 | Professional | None | $14.45 | $14.45 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.76 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.09 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $32.36 Median $39.81 Typical High $79.43 | Facility | None | $32.36 | $39.81 | $79.43 |
BCBS North Carolina Setting Professional Modifier None Typical Low $10.72 Median $53.70 Typical High $53.70 | Professional | None | $10.72 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $39.81 Typical High $81.28 | Facility | None | $12.59 | $39.81 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $27.54 | Professional | None | $9.33 | $12.59 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $34.67 Typical High $34.67 | Professional | None | $11.22 | $34.67 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $38.02 | Facility | None | $12.88 | $14.45 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $53.70 | Professional | None | $14.45 | $25.70 | $53.70 |
Oscar Health Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $24.55 | Professional | None | $7.59 | $12.59 | $24.55 |
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 90 · Outside lab Typical Low $10.72 Median $12.02 Typical High $12.59 | Professional | 90 · Outside lab | $10.72 | $12.02 | $12.59 |
Where North Carolina sits
The same service costs 6.2 times more in Kansas than in Alabama. 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· 40th of 51
$14.45
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.