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 $12.30 Median $12.30 Typical High $39.81 | Facility | None | $12.30 | $12.30 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $14.13 | Professional | None | $12.02 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $6.61 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.63 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.88 Median $61.66 Typical High $61.66 | Facility | None | $33.88 | $61.66 | $61.66 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | None | $9.12 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $33.11 Typical High $69.18 | Facility | None | $10.72 | $33.11 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $23.44 | Professional | None | $7.94 | $10.23 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $33.11 Typical High $44.67 | Professional | None | $12.59 | $33.11 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $12.30 Typical High $30.20 | Facility | None | $11.75 | $12.30 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $5.50 Median $20.89 Typical High $26.92 | Professional | None | $5.50 | $20.89 | $26.92 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.23 Typical High $19.95 | Professional | None | $6.46 | $10.23 | $19.95 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | 90 · Outside lab | $97.72 | $97.72 | $97.72 |
Where North Carolina sits
The same service costs 3.3 times more in South Carolina than in Maryland. 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· 44th of 51
$12.30
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.