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 $3.09 Median $3.09 Typical High $9.77 | Facility | None | $3.09 | $3.09 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $3.09 | Professional | None | $2.95 | $3.09 | $3.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.47 Median $4.68 Typical High $6.31 | Facility | None | $3.47 | $4.68 | $6.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.24 Median $3.55 Typical High $3.98 | Professional | None | $3.24 | $3.55 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $4.37 Typical High $6.17 | Facility | None | $3.31 | $4.37 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.47 | Facility | None | $3.09 | $3.09 | $3.47 |
Medcost Setting Professional Modifier None Typical Low $2.82 Median $5.25 Typical High $9.33 | Professional | None | $2.82 | $5.25 | $9.33 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
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 $1.41 Median $2.63 Typical High $2.63 | Professional | 51 · Multiple procedures | $1.41 | $2.63 | $2.63 |
Where North Carolina sits
The same service costs 2.7 times more in Wyoming than in New York. 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· 6th of 51
$3.24
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.