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 $4.37 Median $5.25 Typical High $6.46 | Facility | None | $4.37 | $5.25 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $11.22 | Professional | None | $4.37 | $4.90 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $11.48 | Professional | None | $8.13 | $10.00 | $11.48 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $16.60 | Professional | None | $9.33 | $12.88 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $12.88 | Professional | None | $2.82 | $4.27 | $12.88 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $17.38 Typical High $26.92 | Facility | None | $5.75 | $17.38 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $12.02 | Professional | None | $4.17 | $5.01 | $12.02 |
Oscar Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.13 | Professional | None | $10.72 | $10.72 | $14.13 |
United Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.13 | Professional | None | $10.72 | $10.72 | $14.13 |
7 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 Facility Modifier AF · Specialist physician Typical Low $5.75 Median $5.75 Typical High $6.46 | Facility | AF · Specialist physician | $5.75 | $5.75 | $6.46 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $4.37 Median $4.37 Typical High $4.79 | Facility | HO · Master's level | $4.37 | $4.37 | $4.79 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $4.90 Median $4.90 Typical High $5.50 | Facility | TD · Registered nurse | $4.90 | $4.90 | $5.50 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $5.75 Median $5.75 Typical High $17.38 | Professional | AF · Specialist physician | $5.75 | $5.75 | $17.38 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $4.37 Median $4.37 Typical High $13.18 | Professional | HO · Master's level | $4.37 | $4.37 | $13.18 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $4.90 Median $4.90 Typical High $14.79 | Professional | TD · Registered nurse | $4.90 | $4.90 | $14.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.09 Median $2.51 Typical High $6.03 | Professional | 51 · Multiple procedures | $2.09 | $2.51 | $6.03 |
Where North Carolina sits
The same service costs 1.8 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· 28th 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.