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 $9.55 Median $9.55 Typical High $10.23 | Facility | None | $9.55 | $9.55 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $19.50 | Professional | None | $9.55 | $9.55 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 53 · Discontinued | $1.95 | $1.95 | $1.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $120.23 | Facility | None | $83.18 | $83.18 | $120.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7.76 Median $22.39 Typical High $26.30 | Professional | None | $7.76 | $22.39 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $83.18 Typical High $169.82 | Facility | None | $28.84 | $83.18 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $43.65 Typical High $57.54 | Professional | None | $6.76 | $43.65 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $38.02 | Facility | None | $9.55 | $9.55 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $7.76 Median $30.20 Typical High $30.20 | Professional | None | $7.76 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $20.89 | Professional | None | $6.03 | $6.31 | $20.89 |
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 $309.03 Median $309.03 Typical High $323.59 | Professional | 90 · Outside lab | $309.03 | $309.03 | $323.59 |
Where North Carolina sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 49th of 51
$9.55
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.