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 $11.22 Median $11.22 Typical High $26.92 | Facility | None | $11.22 | $11.22 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $11.75 | Professional | None | $9.55 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $44.67 | Facility | None | $31.62 | $38.90 | $44.67 |
BCBS North Carolina Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $17.78 | Professional | None | $8.51 | $10.00 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $30.90 Typical High $64.57 | Facility | None | $9.55 | $30.90 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.59 Typical High $17.78 | Professional | None | $6.61 | $7.59 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $22.39 Typical High $22.91 | Professional | None | $8.71 | $22.39 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $9.12 Median $11.22 Typical High $21.88 | Facility | None | $9.12 | $11.22 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $19.05 | Professional | None | $9.12 | $14.79 | $19.05 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $14.13 | Professional | None | $5.89 | $7.41 | $14.13 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | 90 · Outside lab | $8.91 | $8.91 | $8.91 |
Where North Carolina sits
The same service costs 3.4 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· 35th of 51
$11.22
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.