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 $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.82 Typical High $2.82 | Professional | None | $2.04 | $2.82 | $2.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.09 Median $2.45 Typical High $2.57 | Professional | None | $2.09 | $2.45 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Medcost Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Medcost Setting Facility Modifier None Typical Low $2.82 Median $3.89 Typical High $4.47 | Facility | None | $2.82 | $3.89 | $4.47 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.40 Typical High $3.02 | Professional | None | $2.00 | $2.40 | $3.02 |
United Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1.20 Median $1.51 Typical High $3.80 | Professional | 51 · Multiple procedures | $1.20 | $1.51 | $3.80 |
Where North Carolina sits
The same service costs 2.5 times more in Hawaii than in Maine. 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· 17th of 51
$2.45
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.