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 $31.62 Median $35.48 Typical High $35.48 | Facility | None | $31.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $39.81 | Professional | None | $31.62 | $35.48 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
BCBS North Carolina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $85.11 | Professional | None | $32.36 | $42.66 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $57.54 | Facility | None | $31.62 | $35.48 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $97.72 | Professional | None | $38.90 | $48.98 | $97.72 |
United Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $102.33 | Professional | None | $37.15 | $39.81 | $102.33 |
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 $44.67 Median $44.67 Typical High $48.98 | Professional | AT · Acute treatment | $44.67 | $44.67 | $48.98 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in Ohio. 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· 42nd of 51
$38.90
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.