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 $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
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 $4.37 Median $4.37 Typical High $5.25 | Facility | None | $4.37 | $4.37 | $5.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1.95 Median $3.16 Typical High $3.63 | Professional | None | $1.95 | $3.16 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $3.89 Typical High $6.46 | Facility | None | $3.47 | $3.89 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Facility | None | $3.09 | $3.09 | $3.24 |
Medcost Setting Professional Modifier None Typical Low $3.63 Median $7.24 Typical High $7.24 | Professional | None | $3.63 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
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 $3.63 Median $12.59 Typical High $23.44 | Professional | 51 · Multiple procedures | $3.63 | $12.59 | $23.44 |
Where North Carolina sits
The same service costs 2.3 times more in Alaska than in Minnesota. 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· 2nd of 51
$3.16
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.