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 $28.18 Median $29.51 Typical High $57.54 | Facility | None | $28.18 | $29.51 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $61.66 | Professional | None | $28.18 | $28.84 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $34.67 Typical High $61.66 | Professional | None | $8.91 | $34.67 | $61.66 |
BCBS North Carolina Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $112.20 | Facility | None | $75.86 | $91.20 | $112.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $91.20 | Professional | None | $26.30 | $46.77 | $91.20 |
BCBS North Carolina Setting Professional Modifier QW · Waived lab test Typical Low $32.36 Median $41.69 Typical High $44.67 | Professional | QW · Waived lab test | $32.36 | $41.69 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $158.49 | Facility | None | $28.84 | $75.86 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $67.61 | Professional | None | $16.22 | $32.36 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $41.69 | Facility | None | $28.18 | $28.18 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $74.13 | Professional | None | $35.48 | $44.67 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $97.72 | Professional | None | $22.91 | $31.62 | $97.72 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $48.98 | Professional | None | $14.79 | $20.89 | $48.98 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $16.98 | Professional | 52 · Reduced service | $14.13 | $14.13 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $22.39 Typical High $44.67 | Professional | 51 · Multiple procedures | $17.38 | $22.39 | $44.67 |
Where North Carolina sits
The same service costs 3.5 times more in Minnesota 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· 29th of 51
$35.48
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.