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 $0.65 Median $0.65 Typical High $0.65 | Facility | None | $0.65 | $0.65 | $0.65 |
Aetna Setting Professional Modifier None Typical Low $0.46 Median $0.65 Typical High $0.65 | Professional | None | $0.46 | $0.65 | $0.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Facility | None | $0.65 | $0.65 | $0.65 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.46 Median $0.47 Typical High $0.50 | Professional | None | $0.46 | $0.47 | $0.50 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medcost Setting Facility Modifier None Typical Low $0.65 Median $0.78 Typical High $2.04 | Facility | None | $0.65 | $0.78 | $2.04 |
Medcost Setting Professional Modifier None Typical Low $0.68 Median $0.74 Typical High $1.07 | Professional | None | $0.68 | $0.74 | $1.07 |
United Setting Professional Modifier None Typical Low $0.27 Median $0.40 Typical High $0.50 | Professional | None | $0.27 | $0.40 | $0.50 |
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 $0.34 Median $0.37 Typical High $0.95 | Professional | 51 · Multiple procedures | $0.34 | $0.37 | $0.95 |
Where North Carolina sits
The same service costs 177.8 times more in Wyoming 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· 47th of 51
$0.47
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.