How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $28.84 Median $31.62 Typical High $36.31 | Facility | None | $28.84 | $31.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $38.90 | Professional | None | $28.84 | $33.11 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $36.31 | Professional | None | $30.90 | $33.88 | $36.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $64.57 | Professional | None | $21.38 | $33.88 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $67.61 | Professional | None | $28.18 | $33.11 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $45.71 | Professional | None | $28.18 | $38.90 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $38.90 | Facility | None | $31.62 | $32.36 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $37.15 | Professional | None | $25.70 | $26.30 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None | $25.12 | $25.12 | $33.11 |
United Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None | $25.12 | $25.12 | $33.11 |
4 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 $38.90 Median $38.90 Typical High $40.74 | Facility | AF · Specialist physician | $38.90 | $38.90 | $40.74 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $28.84 Median $28.84 Typical High $30.20 | Facility | HO · Master's level | $28.84 | $28.84 | $30.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $33.11 Median $33.11 Typical High $34.67 | Facility | TD · Registered nurse | $33.11 | $33.11 | $34.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.88 Median $13.18 Typical High $18.62 | Professional | 51 · Multiple procedures | $12.88 | $13.18 | $18.62 |
Where North Carolina sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 19th of 51
$32.36
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.