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 $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.88 Typical High $2.88 | Professional | None | $2.34 | $2.88 | $2.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.04 Median $2.09 Typical High $2.24 | Professional | None | $2.04 | $2.09 | $2.24 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medcost Setting Facility Modifier None Typical Low $2.88 Median $3.47 Typical High $8.91 | Facility | None | $2.88 | $3.47 | $8.91 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $6.03 | Professional | None | $3.02 | $3.31 | $6.03 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.82 Typical High $2.24 | Professional | None | $1.20 | $1.82 | $2.24 |
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 $1.51 Median $1.66 Typical High $4.17 | Professional | 51 · Multiple procedures | $1.51 | $1.66 | $4.17 |
Where North Carolina sits
The same service costs 158.5 times more in Wyoming than in Minnesota. 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· 31st of 51
$2.09
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.