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 $0.34 Median $0.34 Typical High $0.56 | Facility | None | $0.34 | $0.34 | $0.56 |
Aetna Setting Professional Modifier None Typical Low $0.26 Median $0.34 Typical High $0.81 | Professional | None | $0.26 | $0.34 | $0.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1.35 Median $1.35 Typical High $1.62 | Facility | None | $1.35 | $1.35 | $1.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.31 | Professional | None | $0.23 | $0.23 | $0.31 |
Cigna Setting Facility Modifier None Typical Low $0.28 Median $0.39 Typical High $0.55 | Facility | None | $0.28 | $0.39 | $0.55 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.31 | Professional | None | $0.26 | $0.26 | $0.31 |
Medcost Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.34 | Facility | None | $0.31 | $0.31 | $0.34 |
Medcost Setting Professional Modifier None Typical Low $0.43 Median $0.46 Typical High $0.93 | Professional | None | $0.43 | $0.46 | $0.93 |
United Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.47 | Professional | None | $0.30 | $0.30 | $0.47 |
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 $0.23 Median $0.23 Typical High $0.52 | Professional | 51 · Multiple procedures | $0.23 | $0.23 | $0.52 |
Where North Carolina sits
The same service costs 2.8 times more in Kansas than in Alabama. 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· 28th of 51
$0.30
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.