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 $6.31 Median $6.31 Typical High $13.49 | Facility | None | $6.31 | $6.31 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $6.31 | Professional | None | $4.79 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.98 Median $22.39 Typical High $22.39 | Facility | None | $16.98 | $22.39 | $22.39 |
BCBS North Carolina Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $5.50 | Professional | None | $4.68 | $4.90 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $16.98 Typical High $35.48 | Facility | None | $5.37 | $16.98 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.72 Typical High $9.33 | Professional | None | $3.31 | $3.72 | $9.33 |
Medcost Setting Professional Modifier None Typical Low $4.37 Median $9.12 Typical High $12.59 | Professional | None | $4.37 | $9.12 | $12.59 |
Medcost Setting Facility Modifier None Typical Low $5.13 Median $6.31 Typical High $10.96 | Facility | None | $5.13 | $6.31 | $10.96 |
Medcost Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $10.00 | Professional | None | $5.13 | $7.41 | $10.00 |
United Setting Professional Modifier None Typical Low $3.31 Median $3.72 Typical High $7.76 | Professional | None | $3.31 | $3.72 | $7.76 |
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 GY · Excluded by law Typical Low $4.27 Median $4.27 Typical High $4.90 | Professional | GY · Excluded by law | $4.27 | $4.27 | $4.90 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 34th 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.