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 $13.49 Median $13.49 Typical High $43.65 | Facility | None | $13.49 | $13.49 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $19.05 | Professional | None | $13.49 | $13.49 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $7.24 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.95 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $37.15 Median $52.48 Typical High $63.10 | Facility | None | $37.15 | $52.48 | $63.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $10.23 Median $58.88 Typical High $58.88 | Professional | None | $10.23 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $37.15 Typical High $77.62 | Facility | None | $11.75 | $37.15 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $25.70 | Professional | None | $8.71 | $11.48 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $40.74 Typical High $48.98 | Professional | None | $14.13 | $40.74 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $35.48 | Facility | None | $12.30 | $13.49 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $13.49 Median $23.99 Typical High $36.31 | Professional | None | $13.49 | $23.99 | $36.31 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $22.91 | Professional | None | $7.08 | $11.75 | $22.91 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 90 · Outside lab | $58.88 | $58.88 | $58.88 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska 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
$13.49
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.