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 $10.47 Median $10.47 Typical High $34.67 | Facility | None | $10.47 | $10.47 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.02 | Professional | None | $10.47 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $5.75 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.29 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $56.23 | Facility | None | $36.31 | $56.23 | $56.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $11.22 | Professional | None | $7.94 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $28.84 Typical High $60.26 | Facility | None | $9.33 | $28.84 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $19.95 | Professional | None | $6.92 | $8.91 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $39.81 | Professional | None | $10.96 | $28.84 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $10.23 Median $10.47 Typical High $27.54 | Facility | None | $10.23 | $10.47 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $7.76 Median $18.62 Typical High $23.99 | Professional | None | $7.76 | $18.62 | $23.99 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $18.20 | Professional | None | $5.50 | $9.12 | $18.20 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | 90 · Outside lab | $9.12 | $9.12 | $9.12 |
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· 43rd of 51
$10.47
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.