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 $23.44 Median $27.54 Typical High $27.54 | Facility | None | $23.44 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $34.67 | Professional | None | $23.44 | $27.54 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $64.57 | Professional | None | $26.30 | $38.02 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $44.67 | Facility | None | $23.44 | $27.54 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $75.86 | Professional | None | $30.90 | $38.02 | $75.86 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $77.62 | Professional | None | $28.18 | $30.90 | $77.62 |
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 AT · Acute treatment Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | AT · Acute treatment | $37.15 | $37.15 | $37.15 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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
$30.20
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.