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 $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier None Typical Low $0.69 Median $0.79 Typical High $0.79 | Professional | None | $0.69 | $0.79 | $0.79 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.93 Median $1.20 Typical High $1.62 | Facility | None | $0.93 | $1.20 | $1.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.81 Median $0.89 Typical High $1.45 | Professional | None | $0.81 | $0.89 | $1.45 |
Cigna Setting Facility Modifier None Typical Low $0.78 Median $1.05 Typical High $1.45 | Facility | None | $0.78 | $1.05 | $1.45 |
Cigna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | None | $0.69 | $0.69 | $0.69 |
Medcost Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Medcost Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $0.81 | Facility | None | $0.79 | $0.79 | $0.81 |
Medcost Setting Professional Modifier None Typical Low $0.95 Median $1.45 Typical High $2.00 | Professional | None | $0.95 | $1.45 | $2.00 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.78 Typical High $0.79 | Professional | None | $0.72 | $0.78 | $0.79 |
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 $0.28 Median $0.72 Typical High $0.72 | Professional | 51 · Multiple procedures | $0.28 | $0.72 | $0.72 |
Where North Carolina sits
The same service costs 2.5 times more in Wyoming than in Maine. 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· 7th of 51
$0.81
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.