How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1.82 Median $1.82 Typical High $1.82 | Facility | None | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.82 Typical High $1.82 | Professional | None | $1.74 | $1.82 | $1.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $6.31 | Facility | None | $5.25 | $5.25 | $6.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.55 | Professional | None | $1.17 | $1.17 | $1.55 |
Cigna Setting Facility Modifier None Typical Low $1.91 Median $2.51 Typical High $3.63 | Facility | None | $1.91 | $2.51 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $2.00 | Professional | None | $1.70 | $1.70 | $2.00 |
Medcost Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
Medcost Setting Facility Modifier None Typical Low $1.82 Median $1.82 Typical High $2.04 | Facility | None | $1.82 | $1.82 | $2.04 |
Medcost Setting Professional Modifier None Typical Low $2.51 Median $6.61 Typical High $8.91 | Professional | None | $2.51 | $6.61 | $8.91 |
United Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.69 | Professional | None | $1.74 | $1.74 | $2.69 |
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 $1.26 Median $2.75 Typical High $3.31 | Professional | 51 · Multiple procedures | $1.26 | $2.75 | $3.31 |
Where North Carolina sits
The same service costs 3.3 times more in Wyoming than in Kentucky. 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· 39th of 51
$1.74
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.