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 $1.17 Median $1.17 Typical High $1.17 | Facility | None | $1.17 | $1.17 | $1.17 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $1.17 Typical High $1.17 | Professional | None | $0.81 | $1.17 | $1.17 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1.10 Median $1.32 Typical High $1.38 | Facility | None | $1.10 | $1.32 | $1.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.98 Median $1.02 Typical High $1.10 | Professional | None | $0.98 | $1.02 | $1.10 |
Cigna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Medcost Setting Professional Modifier None Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | None | $0.95 | $0.95 | $0.95 |
Medcost Setting Facility Modifier None Typical Low $1.17 Median $1.62 Typical High $1.86 | Facility | None | $1.17 | $1.62 | $1.86 |
Medcost Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.41 | Professional | None | $1.00 | $1.00 | $1.41 |
United Setting Professional Modifier None Typical Low $0.47 Median $0.66 Typical High $0.76 | Professional | None | $0.47 | $0.66 | $0.76 |
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 $0.50 Median $0.50 Typical High $1.51 | Professional | 51 · Multiple procedures | $0.50 | $0.50 | $1.51 |
Where North Carolina sits
The same service costs 2.9 times more in Hawaii than in Colorado. 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
$1.02
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.