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 $0.14 Median $0.14 Typical High $0.14 | Facility | None | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier None Typical Low $0.10 Median $0.14 Typical High $0.14 | Professional | None | $0.10 | $0.14 | $0.14 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.15 Median $0.20 Typical High $0.20 | Facility | None | $0.15 | $0.20 | $0.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.09 Median $0.11 Typical High $0.12 | Professional | None | $0.09 | $0.11 | $0.12 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Medcost Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | None | $0.12 | $0.12 | $0.12 |
Medcost Setting Facility Modifier None Typical Low $0.14 Median $0.18 Typical High $0.24 | Facility | None | $0.14 | $0.18 | $0.24 |
Medcost Setting Professional Modifier None Typical Low $0.13 Median $0.19 Typical High $1.00 | Professional | None | $0.13 | $0.19 | $1.00 |
United Setting Professional Modifier None Typical Low $0.06 Median $0.08 Typical High $0.09 | Professional | None | $0.06 | $0.08 | $0.09 |
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 $0.06 Median $0.18 Typical High $0.50 | Professional | 51 · Multiple procedures | $0.06 | $0.18 | $0.50 |
Where North Carolina sits
The same service costs 2.2 times more in Idaho 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· 22nd of 51
$0.11
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.