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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $16.98 | Professional | None | $9.77 | $9.77 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | None | $21.38 | $21.38 | $26.92 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $5.25 Median $8.32 Typical High $21.38 | Professional | QW · Waived lab test | $5.25 | $8.32 | $21.38 |
BCBS North Carolina Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $45.71 | Facility | None | $25.70 | $38.02 | $45.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $16.22 | Professional | None | $12.30 | $16.22 | $16.22 |
BCBS North Carolina Setting Professional Modifier QW · Waived lab test Typical Low $11.22 Median $15.85 Typical High $19.05 | Professional | QW · Waived lab test | $11.22 | $15.85 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $26.92 Typical High $54.95 | Facility | None | $10.00 | $26.92 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $10.00 Typical High $24.55 | Professional | None | $5.62 | $10.00 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $14.45 | Facility | None | $9.77 | $9.77 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $24.55 | Professional | None | $14.79 | $17.78 | $24.55 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $17.78 | Professional | None | $5.13 | $8.32 | $17.78 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.71 Median $8.91 Typical High $16.60 | Professional | 51 · Multiple procedures | $8.71 | $8.91 | $16.60 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in Florida. 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· 12th of 51
$16.22
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.