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 $13.18 Median $14.79 Typical High $20.42 | Facility | None | $13.18 | $14.79 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $23.44 | Professional | None | $14.79 | $14.79 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | None | $14.79 | $14.79 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $21.88 Typical High $31.62 | Facility | None | $16.60 | $21.88 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $16.98 | Professional | None | $14.79 | $14.79 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Facility | None | $14.79 | $14.79 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $25.70 | Professional | None | $13.49 | $13.49 | $25.70 |
United Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $19.05 | Professional | None | $14.79 | $14.79 | $19.05 |
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 $6.76 Median $6.76 Typical High $21.38 | Professional | 51 · Multiple procedures | $6.76 | $6.76 | $21.38 |
Where North Carolina sits
The same service costs 1.5 times more in Alaska than in Florida. 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· 45th of 51
$14.79
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.