How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Ambetter Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Facility | None | $0.04 | $0.04 | $0.05 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.27 | Professional | None | $0.02 | $0.02 | $0.27 |
Cigna Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.05 | Facility | None | $0.02 | $0.03 | $0.05 |
Cigna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Medcost Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Medcost Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Medcost Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.06 | Professional | None | $0.02 | $0.02 | $0.06 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
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 $0.03 Median $0.03 Typical High $0.38 | Professional | 51 · Multiple procedures | $0.03 | $0.03 | $0.38 |
Where North Carolina sits
The same service costs 26.3 times more in Montana than in Virginia. 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· 17th of 51
$0.02
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.