How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $56.23 Median $56.23 Typical High $128.82 | Facility | None | $56.23 | $56.23 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $100.00 | Professional | None | $56.23 | $56.23 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $229.09 | Facility | None | $154.88 | $190.55 | $229.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $95.50 | Professional | None | $56.23 | $56.23 | $95.50 |
BCBS North Carolina Setting Professional Modifier QW · Waived lab test Typical Low $64.57 Median $85.11 Typical High $109.65 | Professional | QW · Waived lab test | $64.57 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $186.21 Typical High $316.23 | Facility | None | $57.54 | $186.21 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $64.57 Typical High $109.65 | Professional | None | $32.36 | $64.57 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $83.18 | Facility | None | $56.23 | $56.23 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $125.89 | Professional | None | $85.11 | $87.10 | $125.89 |
United Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $87.10 | Professional | None | $29.51 | $43.65 | $87.10 |
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 $28.18 Median $28.18 Typical High $41.69 | Professional | 52 · Reduced service | $28.18 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $16.98 | Professional | 53 · Discontinued | $11.22 | $11.22 | $16.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $95.50 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $95.50 |
Where North Carolina sits
The same service costs 4.0 times more in Alaska than in Alabama. 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
$56.23
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.