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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $6.46 | Professional | None | $4.68 | $6.46 | $6.46 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $6.03 | Professional | None | $5.37 | $5.62 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medcost Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Medcost Setting Facility Modifier None Typical Low $6.46 Median $8.91 Typical High $10.47 | Facility | None | $6.46 | $8.91 | $10.47 |
Medcost Setting Professional Modifier None Typical Low $3.09 Median $5.50 Typical High $6.03 | Professional | None | $3.09 | $5.50 | $6.03 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.63 Typical High $4.27 | Professional | None | $2.63 | $3.63 | $4.27 |
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 $2.75 Median $3.02 Typical High $8.51 | Professional | 51 · Multiple procedures | $2.75 | $3.02 | $8.51 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in Utah. 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· 18th of 51
$5.62
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.