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 $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.98 Typical High $3.98 | Professional | None | $2.88 | $3.98 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4.79 Median $6.17 Typical High $6.17 | Facility | None | $4.79 | $6.17 | $6.17 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.31 Median $3.47 Typical High $3.72 | Professional | None | $3.31 | $3.47 | $3.72 |
Cigna 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 Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Medcost Setting Facility Modifier None Typical Low $3.98 Median $5.50 Typical High $6.31 | Facility | None | $3.98 | $5.50 | $6.31 |
Medcost Setting Professional Modifier None Typical Low $3.39 Median $3.98 Typical High $7.59 | Professional | None | $3.39 | $3.98 | $7.59 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.24 Typical High $2.57 | Professional | None | $1.62 | $2.24 | $2.57 |
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 $1.70 Median $2.00 Typical High $5.25 | Professional | 51 · Multiple procedures | $1.70 | $2.00 | $5.25 |
Where North Carolina sits
The same service costs 3.2 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
$3.47
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.