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 $31.62 | Facility | None | $12.30 | $12.30 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $18.20 | Professional | None | $10.96 | $12.30 | $18.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $40.74 Median $48.98 Typical High $48.98 | Facility | None | $40.74 | $48.98 | $48.98 |
BCBS North Carolina Setting Professional Modifier None Typical Low $11.48 Median $15.14 Typical High $15.14 | Professional | None | $11.48 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $33.11 Typical High $69.18 | Facility | None | $10.47 | $33.11 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $8.13 Typical High $19.95 | Professional | None | $7.08 | $8.13 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $12.30 Typical High $20.89 | Facility | None | $12.02 | $12.30 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $16.60 Typical High $34.67 | Professional | None | $7.94 | $16.60 | $34.67 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $16.60 | Professional | None | $6.46 | $8.13 | $16.60 |
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 QW · Waived lab test Typical Low $7.59 Median $9.12 Typical High $9.12 | Professional | QW · Waived lab test | $7.59 | $9.12 | $9.12 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 33rd 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.