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 $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $2.45 Typical High $2.45 | Professional | None | $1.74 | $2.45 | $2.45 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
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 $2.14 Typical High $2.29 | Professional | None | $2.04 | $2.14 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Medcost Setting Facility Modifier None Typical Low $2.45 Median $3.39 Typical High $3.89 | Facility | None | $2.45 | $3.39 | $3.89 |
Medcost Setting Professional Modifier None Typical Low $1.86 Median $2.75 Typical High $4.68 | Professional | None | $1.86 | $2.75 | $4.68 |
United Setting Professional Modifier None Typical Low $0.98 Median $1.38 Typical High $1.58 | Professional | None | $0.98 | $1.38 | $1.58 |
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 $1.00 Median $1.51 Typical High $3.16 | Professional | 51 · Multiple procedures | $1.00 | $1.51 | $3.16 |
Where North Carolina sits
The same service costs 2.9 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· 19th of 51
$2.14
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.