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 $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.86 Typical High $1.86 | Professional | None | $1.35 | $1.86 | $1.86 |
Ambetter Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1.58 Median $1.62 Typical High $1.74 | Professional | None | $1.58 | $1.62 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Medcost Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Medcost Setting Facility Modifier None Typical Low $0.60 Median $0.60 Typical High $3.02 | Facility | None | $0.60 | $0.60 | $3.02 |
Medcost Setting Professional Modifier None Typical Low $0.54 Median $1.62 Typical High $2.00 | Professional | None | $0.54 | $1.62 | $2.00 |
United Setting Professional Modifier None Typical Low $0.76 Median $1.07 Typical High $1.23 | Professional | None | $0.76 | $1.07 | $1.23 |
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 $0.79 Median $1.00 Typical High $2.45 | Professional | 51 · Multiple procedures | $0.79 | $1.00 | $2.45 |
Where North Carolina sits
The same service costs 2.8 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
$1.62
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.