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 $0.45 Median $0.50 Typical High $4.90 | Facility | None | $0.45 | $0.50 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $0.40 Median $0.50 Typical High $0.50 | Professional | None | $0.40 | $0.50 | $0.50 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.43 Median $0.59 Typical High $0.85 | Facility | None | $0.43 | $0.59 | $0.85 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.43 Median $0.47 Typical High $1.48 | Professional | None | $0.43 | $0.47 | $1.48 |
Cigna Setting Facility Modifier None Typical Low $0.56 Median $0.65 Typical High $0.85 | Facility | None | $0.56 | $0.65 | $0.85 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Medcost Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Medcost Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $0.50 | Facility | None | $0.48 | $0.48 | $0.50 |
Medcost Setting Professional Modifier None Typical Low $0.89 Median $4.68 Typical High $4.90 | Professional | None | $0.89 | $4.68 | $4.90 |
United Setting Professional Modifier None Typical Low $0.41 Median $0.43 Typical High $0.45 | Professional | None | $0.41 | $0.43 | $0.45 |
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 $2.34 Median $2.34 Typical High $2.45 | Professional | 51 · Multiple procedures | $2.34 | $2.34 | $2.45 |
Where North Carolina sits
The same service costs 1.9 times more in Wyoming than in Ohio. 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· 3rd of 51
$0.47
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.