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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None | $102.33 | $102.33 | $123.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $288.40 Median $338.84 Typical High $407.38 | Facility | None | $288.40 | $338.84 | $407.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $194.98 | Professional | None | $46.77 | $51.29 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $588.84 | Facility | None | $107.15 | $281.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $263.03 | Professional | None | $60.26 | $107.15 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $154.88 | Facility | None | $102.33 | $102.33 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $223.87 | Professional | None | $54.95 | $54.95 | $223.87 |
United Setting Professional Modifier None Typical Low $27.54 Median $70.79 Typical High $128.82 | Professional | None | $27.54 | $70.79 | $128.82 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 90 · Outside lab | $181.97 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $27.54 Typical High $177.83 | Professional | 51 · Multiple procedures | $27.54 | $27.54 | $177.83 |
Where North Carolina sits
The same service costs 3.8 times more in Alaska than in Georgia. 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· 49th of 51
$77.62
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.